Individual
MR. ROGER S. BICKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1550 E COVELL BLVD, (INSIDE LONGS DRUGS), DAVIS, CA 95616-1352
(530) 758-9000
Mailing address
3064 BIG BEAR DR, ROSEVILLE, CA 95747-7133
(916) 212-0994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 14899
CA
Other
Enumeration date
06/05/2006
Last updated
06/03/2013
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