Organization
USCG AIRSTA SACRAMENTO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER JOHN HARRIS (APA-C)
(916) 561-7568
Entity
Organization
Contact information
Practice address
5342 DUDLEY BLVD, MCCLELLAN, CA 95652-1012
(916) 561-7568
Mailing address
6037 PRICE AVE, MCCLELLAN, CA 95652-2400
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
—
—
Other
Enumeration date
03/11/2008
Last updated
03/11/2008
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