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Organization
WALLACE BLAKE MCKINNEY MEDICAL GROUP OF CALIFORNIA
Active
Organization
WALLACE BLAKE MCKINNEY MEDICAL GROUP OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DUTTON MD (MEDICAL DIRECTOR)
(916) 215-4554
Entity
Organization
Contact information
Practice address
9245 LAGUNA SPRINGS DR STE 200, ELK GROVE, CA 95758-7991
(916) 215-4554
Mailing address
3513 BRIGHTON BLVD STE 230, DENVER, CO 80216-3606
(916) 215-4554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2018
Last updated
03/15/2021
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