Individual
JOHN BRADLEY HACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4413 SOPHISTRY DR, RANCHO CORDOVA, CA 95742-8073
(916) 202-4297
Mailing address
4413 SOPHISTRY DR, RANCHO CORDOVA, CA 95742-8073
(916) 202-4297
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A82374
CA
Other
Enumeration date
12/06/2005
Last updated
01/18/2011
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