Organization
GASTRO CONSULTANTS OF SACRAMENTO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SAM DAVIDSON M.D. (CEO)
(209) 751-7165
Entity
Organization
Contact information
Practice address
1014 N MARKET BLVD, SUITE 45, SACRAMENTO, CA 95834-1986
(209) 751-7165
Mailing address
262 BURGENLAND AVE, TURLOCK, CA 95382-0343
(209) 751-7165
(209) 579-2354
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G66389
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G66389
CA
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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