Individual
MARC B CABANNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1625 CREEKSIDE DR STE 200, FOLSOM, CA 95630-3819
(916) 365-9590
(916) 292-8098
Mailing address
2001 RATTLESNAKE RD, NEWCASTLE, CA 95658-9722
(916) 663-2100
(916) 663-2103
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20A12580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A12580
OSTEOPATHIC BOARD
CA
Enumeration date
10/12/2011
Last updated
04/02/2020
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