Individual
ANTONIO MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2081 BRONZE STAR DR, WOODLAND, CA 95776-5423
(530) 668-2600
(530) 661-1027
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A78936
CA
Other
Enumeration date
12/15/2006
Last updated
07/23/2020
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