Organization
JOHN B HACKERT MD INC
Active
Other names
Sierra Colorectal Surgery, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADLEY HACKERT MD (PHYSICIAN OWNER)
(916) 984-9700
Entity
Organization
Contact information
Practice address
1641 CREEKSIDE DR, SUITE 201, FOLSOM, CA 95630-3831
(916) 984-9700
Mailing address
4413 SOPHISTRY DR, RANCHO CORDOVA, CA 95742-8073
(916) 682-8289
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A82374
CA
Other
Enumeration date
05/11/2007
Last updated
08/22/2020
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