Organization
UNIVERSITY OF CALIFORNIA, DAVIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY POWELL MD (HEMOTOLOGY ONCOLOGY)
(916) 734-8616
Entity
Organization
Contact information
Practice address
2360 STOCKTON BLVD STE 1100, SACRAMENTO, CA 95817-2283
(916) 734-3461
(916) 734-3591
Mailing address
2360 STOCKTON BLVD STE 1100, SACRAMENTO, CA 95817-2283
(916) 734-3461
(916) 734-3591
Taxonomy
Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary
24419
CA
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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