Organization
DAVIS DEVELOPMENTAL PEDIATRICS GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN T NOWICKI MD, PHD (PHYSICIAN, PRESIDENT)
(530) 220-3039
Entity
Organization
Contact information
Practice address
1321 COLLEGE ST, SUITE E, WOODLAND, CA 95695-4706
(530) 758-3374
(530) 746-0657
Mailing address
2747 GANGES PL, DAVIS, CA 95616-2921
(530) 758-3374
(530) 758-3374
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A078949
CA
Other
Enumeration date
01/15/2011
Last updated
06/09/2015
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