Organization
REGENTS OF THE UNIVERSITY OF CA.
Active
Other names
UC Davis Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN D HALL M.D. (CFO)
(916) 734-9200
Entity
Organization
Contact information
Practice address
8110 LAGUNA BLVD, ELK GROVE, CA 95758-7904
(916) 683-3955
(916) 736-1419
Mailing address
4900 BROADWAY STE 1200, SACRAMENTO, CA 95820-1535
(916) 734-9255
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
E4735
CA
Other
Enumeration date
10/04/2007
Last updated
02/07/2022
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