Individual
DAVID A VERHAAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3866
(916) 774-8300
(916) 772-8355
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A24735
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A247350
—
CA
Enumeration date
09/21/2006
Last updated
07/08/2007
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