Individual
MR. JOHN GRIFFITH HUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2307
(916) 734-6448
Mailing address
4860 Y ST STE 3740, SACRAMENTO, CA 95817-2307
(916) 734-6448
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
55036
CA
363A00000X
Physician Assistant
72211
WI
363AM0700X
Medical Physician Assistant
Primary
55036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376054650
—
WI
Enumeration date
10/13/2017
Last updated
03/29/2024
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