Organization
GASTRO CONSULTANTS OF SACRAMENTO, INC.
Active
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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