Organization
CHACON BNK PC
Active
Organization
CHACON BNK PC
Active
Other names
Rocklin Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
STACY NORTHEY (BILLING AND CREDENTIALING MANAGER)
(928) 531-9171
Entity
Organization
Contact information
Practice address
2203 PLAZA DR STE 110, ROCKLIN, CA 95765-4427
(916) 938-2531
Mailing address
2203 PLAZA DR STE 110, ROCKLIN, CA 95765-4427
(916) 938-2531
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/19/2024
Last updated
08/06/2026
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