Organization
GASTROENTEROLOGY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERICK PECHA M.D. (PRESIDENT)
(916) 983-4444
Entity
Organization
Contact information
Practice address
1580 CREEKSIDE DR STE 220, FOLSOM, CA 95630-3888
(916) 983-4444
(916) 983-8563
Mailing address
1580 CREEKSIDE DR STE 150, FOLSOM, CA 95630-3888
(916) 983-4444
(916) 983-8563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0048710
—
CA
Enumeration date
02/01/2008
Last updated
10/18/2023
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