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Organization
SOLANO ANESTHESIA CONSULTANTS INC
Active
Organization
SOLANO ANESTHESIA CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CRAIG RIDDLE MD (PRESIDENT)
(770) 554-4444
Entity
Organization
Contact information
Practice address
300 HOSPITAL DR, VALLEJO, CA 94589
(707) 554-4444
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF2864
RAILROAD MEDICARE
CA
05
—
GR0103690
—
CA
01
—
ZZZ13571Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/11/2006
Last updated
10/31/2007
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