Individual
DR. GEORGE FEHRENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PLAZA DR, SUITE #175, ROSEVILLE, CA 95661-3043
(916) 782-2146
(916) 782-4299
Mailing address
2 MEDICAL PLAZA DR, SUITE #175, ROSEVILLE, CA 95661-3043
(916) 782-2146
(916) 782-4299
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G50702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094900
—
CA
01
—
ZZZ069702
BLUE SHIELD
CA
Enumeration date
02/03/2006
Last updated
06/07/2010
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