Organization
CASSIE SPALDING-DIAS MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIE SPALDING-DIAS MD (PRESIDENT)
(916) 642-9077
Entity
Organization
Contact information
Practice address
7150 SIERRA PONDS LN, GRANITE BAY, CA 95746-7346
(916) 772-2990
Mailing address
PO BOX 960, DAVIS, CA 95617-0960
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A97661
CA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
A97661
CA
Other
Enumeration date
08/04/2017
Last updated
03/17/2018
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