Individual
DR. JACK ALAN PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3288 BELL RD, AUBURN, CA 95603-9243
(530) 745-0700
(530) 745-0701
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G52964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G529640
—
CA
Enumeration date
08/03/2005
Last updated
07/21/2022
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