Organization
JACQUELINE M CALKIN MD AND ALISON A BOUDREAUX MD A PROFESSIONAL MEDICA
Active
Organization
JACQUELINE M CALKIN MD AND ALISON A BOUDREAUX MD A PROFESSIONAL MEDICA
Active
Other names
Calkin And Boudreaux Dermatology Associates Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISON ANN BOUDREAUX MD (PHYSICIAN)
(916) 646-3376
Entity
Organization
Contact information
Practice address
2625 FAIR OAKS BLVD, SUITE 1, SACRAMENTO, CA 95864-4936
(916) 646-3376
(916) 646-3336
Mailing address
2625 FAIR OAKS BLVD, SUITE 1, SACRAMENTO, CA 95864-4936
(916) 646-3376
(916) 646-3336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098940
—
CA
Enumeration date
02/27/2007
Last updated
11/18/2016
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