Individual
ALAN J FRIBOURG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5301 F ST, STE 111, SACRAMENTO, CA 95819-3226
(916) 452-8291
(916) 452-1733
Mailing address
5301 F ST, STE 111, SACRAMENTO, CA 95819-3226
(916) 452-8291
(916) 452-1733
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046820
—
CA
Enumeration date
07/22/2005
Last updated
07/08/2007
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