Individual
JOSHUA BRYCE KESSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A21000
CA
207P00000X
Emergency Medicine Physician
OS021687
PA
208D00000X
General Practice Physician
5101024380
MI
Other
Enumeration date
04/21/2017
Last updated
06/27/2024
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