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Organization

SIERRA MEDICAL PARTNERSHIP

Active
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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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