Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents UCDPBG UroGyn
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES D KIRK MD (CMO)
(916) 734-1166
Entity
Organization
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-6483
(916) 734-6666
Mailing address
4900 BROADWAY, SUITE 2800, SACRAMENTO, CA 95820-1532
(916) 734-9200
(916) 734-9661
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
03/21/2014
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