Organization
JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION
Active
Parent organization
JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION
Other names
American River Pediatric and Adolescent Medicine, Jonathan Thygeson MD INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JONATHAN E THYGESON, M.D., INC., A MEDICAL CORPORATION
Authorized official
DR. JONATHAN E THYGESON MD (MD/OWNER)
(916) 924-8754
Entity
Organization
Contact information
Practice address
755 UNIVERSITY AVE, SACRAMENTO, CA 95825-6708
(916) 924-8754
(916) 924-1739
Mailing address
755 UNIVERSITY AVE, SACRAMENTO, CA 95825-6708
(916) 924-8754
(916) 924-1739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154494543
DON R VAN SCHENCK
CA
01
—
1578504379
MARKETA LEISURE MD
VA
01
—
1790744704
JONATHAN E THYGESON
—
01
—
1811990625
PHILIP TRAQUAIR
AZ
Enumeration date
11/02/2018
Last updated
04/05/2021
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