Organization
PETER N. SFAKIANOS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NICHOLAS SFAKIANOS M.D. (PRESIDENT)
(916) 984-4500
Entity
Organization
Contact information
Practice address
1580 CREEKSIDE DR, SUITE 100, FOLSOM, CA 95630-3886
(916) 984-4500
(916) 984-4502
Mailing address
1580 CREEKSIDE DR, SUITE 100, FOLSOM, CA 95630-3886
(916) 984-4500
(916) 984-4502
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G52972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G529721
—
CA
Enumeration date
05/14/2009
Last updated
09/01/2009
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