Organization
KOLBECK, BAUER AND STANTON MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CHARLES KOLBECK M.D. (MEDICAL DIRECTOR)
(916) 863-1496
Entity
Organization
Contact information
Practice address
950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
(916) 863-1496
(916) 863-1498
Mailing address
950 RIVERSIDE PKWY, SUITE 90, WEST SACRAMENTO, CA 95605-1501
(916) 863-1496
(916) 863-1498
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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