Organization
NCFMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARIE KOENES (EXECUTIVE DIRECTOR)
(916) 773-2229
Entity
Organization
Contact information
Practice address
4320 AUBURN BLVD, SACRAMENTO, CA 95841-4166
(916) 773-2229
(916) 773-8391
Mailing address
4320 AUBURN BLVD, SACRAMENTO, CA 95841-4166
(916) 773-2229
(916) 773-8391
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
08/09/2022
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