# PETER N. SFAKIANOS, M.D., INC.

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

## Provider details

- **NPI number:** 1639303951
- **Authorized official:** DR. PETER NICHOLAS SFAKIANOS M.D. (PRESIDENT)
- **Authorized official phone:** (916) 984-4500

## Contact information

- **Practice address:** 1580 CREEKSIDE DR, SUITE 100, FOLSOM, CA 95630-3886
- **Practice address phone:** (916) 984-4500
- **Practice address fax:** (916) 984-4502
- **Mailing address:** 1580 CREEKSIDE DR, SUITE 100, FOLSOM, CA 95630-3886
- **Mailing address phone:** (916) 984-4500
- **Mailing address fax:** (916) 984-4502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G52972 | CA | Yes |

## Other

- **Enumeration date:** 05/14/2009
- **Last updated:** 09/01/2009