Organization
SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES
Active
Organization
SACRAMENTO ADVANCED LAPAROSCOPIC SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WALDREP M.D. (CEO)
(916) 797-7555
Entity
Organization
Contact information
Practice address
2 MEDICAL PLAZA DR, SUITE 264, ROSEVILLE, CA 95661-3043
(916) 797-7555
(916) 797-7501
Mailing address
2 MEDICAL PLAZA DR, SUITE 264, ROSEVILLE, CA 95661-3043
(916) 797-7555
(916) 797-7501
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16323
CA
Other
Enumeration date
09/16/2006
Last updated
02/06/2009
Update your record
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