Individual
ALEC DEDAVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 PLUMAS BLVD, YUBA CITY, CA 95991-5081
(530) 749-3520
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(916) 450-1422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
248972
MA
Other
Enumeration date
06/29/2011
Last updated
01/10/2022
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