Organization
SACRAMENTO EAR NOSE AND THROAT SURGICAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF DUDLEY (CFO ADMIN)
(916) 736-3408
Entity
Organization
Contact information
Practice address
3810 J ST, SACRAMENTO, CA 95816-5521
(916) 736-3408
(916) 233-4171
Mailing address
1561 CREEKSIDE DR, STE 180, FOLSOM, CA 95630-3492
(916) 984-8830
(916) 984-8834
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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