Individual
BRYAN J HOLCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2720 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
(707) 428-2715
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G60799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G607990
—
CA
Enumeration date
10/17/2006
Last updated
06/26/2014
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