Organization
CREEKSIDE OSTEOPATHIC FAMILY PRACTICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL M WEST DO (PRESIDENT)
(916) 984-4100
Entity
Organization
Contact information
Practice address
1731 CREEKSIDE DR, #100, FOLSOM, CA 95630
(916) 984-4100
(916) 984-4154
Mailing address
1731 CREEKSIDE DR, #100, FOLSOM, CA 95630
(916) 984-4100
(916) 984-4154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5262
CA
Other
Enumeration date
07/10/2006
Last updated
07/10/2008
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