Individual
JEFFRY METHENY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
635 ANDERSON RD, #18, DAVIS, CA 95616-3505
(530) 771-4000
(530) 771-4011
Mailing address
635 ANDERSON RD, #18, DAVIS, CA 95616-3505
(530) 771-4000
(530) 771-4011
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G564650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G564650
—
CA
Enumeration date
09/27/2005
Last updated
07/08/2007
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