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Individual

DEBORAH B. ADEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2111
Mailing address
2233 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-2111

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G82086
CA
207RN0300X
Nephrology Physician
Primary
G82086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00353851
NY MEDICAID
NY
01
004900
VT MEDICAID
VT
05
00G820860
CA
Enumeration date
05/27/2006
Last updated
08/10/2011
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