Organization
CAPITAL OB/GYN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALAN BOB M.D (VICE PRESIDENT)
(916) 920-2109
Entity
Organization
Contact information
Practice address
77 CADILLAC DR, SUITE 230, SACRAMENTO, CA 95825-5453
(916) 920-2082
(916) 920-1430
Mailing address
77 CADILLAC DR, SUITE 230, SACRAMENTO, CA 95825-5453
(916) 920-2082
(916) 920-1430
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0101650
—
CA
Enumeration date
05/27/2006
Last updated
09/02/2011
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