Organization
SOLANO FAMILY PHYSICIANS MEDICAL GROUP PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R. BROOKS MD (PRESIDENT/CEO)
(707) 745-2705
Entity
Organization
Contact information
Practice address
1100 ROSE DR, SUITE 140, BENICIA, CA 94510-3623
(707) 745-2705
(707) 745-1902
Mailing address
1100 ROSE DR, SUITE 140, BENICIA, CA 94510-3623
(707) 745-2705
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
00A0627550
CA
Other
Enumeration date
08/06/2010
Last updated
12/29/2011
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