Individual
DR. BRANDON JAMES DOSKOCIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4860 Y ST, SUITE 3100, SACRAMENTO, CA 95817-2307
(916) 703-2261
Mailing address
2608 MARSH WREN WAY, ELK GROVE, CA 95757-8185
(928) 853-5029
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A123344
CA
2085R0204X
Vascular & Interventional Radiology Physician
A123344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123344
CALIFORNIA MEDICAL LICENSE
CA
01
—
72623
PERMIT NUMBER
AZ
Enumeration date
05/13/2011
Last updated
02/11/2022
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