Organization
SIERRA MEDICAL PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH SCRIVEN (CREDENTIALING)
(916) 663-2100
Entity
Organization
Contact information
Practice address
584 N SUNRISE AVE STE 140, ROSEVILLE, CA 95661-2862
(916) 663-2100
Mailing address
1625 CREEKSIDE DR STE 202, FOLSOM, CA 95630-3819
(916) 663-2100
(916) 663-2102
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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