Organization
JUDITH A MIKACICH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH A MIKACICH MD (PRESIDENT)
(916) 927-3178
Entity
Organization
Contact information
Practice address
2277 FAIR OAKS BLVD, 355, SACRAMENTO, CA 95825-5500
(916) 927-3178
(916) 927-1488
Mailing address
2277 FAIR OAKS BLVD, 355, SACRAMENTO, CA 95825-5533
(916) 927-3178
(916) 927-1488
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A73791
CA
Other
Enumeration date
09/30/2009
Last updated
12/22/2009
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