Individual
DWIGHT RAYMOND STICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5275 ASHBY LN, GRANITE BAY, CA 95746-9425
(916) 600-5116
(916) 797-1583
Mailing address
5275 ASHBY LN, GRANITE BAY, CA 95746-9425
(916) 600-5116
(916) 797-1583
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
C37059
CA
Other
Enumeration date
06/01/2008
Last updated
06/01/2008
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