# KOLBECK, BAUER AND STANTON MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215363403
- **Authorized official:** PETER CHARLES KOLBECK M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (916) 863-1496

## Contact information

- **Practice address:** 950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
- **Practice address phone:** (916) 863-1496
- **Practice address fax:** (916) 863-1498
- **Mailing address:** 950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
- **Mailing address phone:** (916) 863-1496
- **Mailing address fax:** (916) 863-1498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/19/2013