Organization
GENESIS OB ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD JACKS (ADMINISTRATOR)
(916) 330-4259
Entity
Organization
Contact information
Practice address
300 HOSPITAL DR, VALLEJO, CA 94589-2574
(916) 330-4259
(916) 357-7054
Mailing address
4944 WINDPLAY DR STE 200, EL DORADO HILLS, CA 95762-9310
(916) 330-5259
(916) 357-7054
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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