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Organization
INTEGRATED HEALTH CENTER OF ROSEVILLE PC
Active
Organization
INTEGRATED HEALTH CENTER OF ROSEVILLE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G LEIGH M.D. (OWNER)
(480) 550-1750
Entity
Organization
Contact information
Practice address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 786-2002
(916) 786-2003
Mailing address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 786-2002
(916) 786-2003
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
05/30/2014
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