Organization
MARC CABANNE DO INC
Active
Organization
MARC CABANNE DO INC
Active
Other names
Northern California Neuro Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MARC B CABANNE DO (OWNER)
(916) 365-9590
Entity
Organization
Contact information
Practice address
1625 CREEKSIDE DR STE 200, FOLSOM, CA 95630-3819
(916) 365-9590
(916) 292-8098
Mailing address
1625 CREEKSIDE DR STE 200, FOLSOM, CA 95630-3819
(916) 365-9590
(916) 292-8098
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12580
CA MED LICENSE
CA
Enumeration date
12/11/2018
Last updated
03/24/2020
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