Individual
NATHANIEL RICHARD DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 ALHAMBRA BLVD STE 200, SACRAMENTO, CA 95816-6510
(916) 679-3590
(916) 482-3647
Mailing address
1300 ETHAN WAY STE 600, SACRAMENTO, CA 95825-2296
(916) 679-3513
(916) 679-3563
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
129005
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A129005
CA
207RI0200X
Infectious Disease Physician
A129005
CA
Other
Enumeration date
05/28/2010
Last updated
10/19/2020
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