Individual
DR. T J MAROON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515
Mailing address
5098 FOOTHILLS BLVD # 3-335, ROSEVILLE, CA 95747-6526
(916) 765-8698
(916) 783-6695
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A55307
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A55307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046250
—
CA
Enumeration date
03/10/2006
Last updated
04/09/2020
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