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Organization

INTEGRATED HEALTH CENTER OF ROSEVILLE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT G LEIGH M.D. (OWNER)
(480) 550-1750
Entity
Organization

Contact information

Practice address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 786-2002
(916) 786-2003
Mailing address
1411 SECRET RAVINE PKWY, SUITE 100, ROSEVILLE, CA 95661-6041
(916) 786-2002
(916) 786-2003

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ81379Y
BCBS
CA
Enumeration date
10/04/2013
Last updated
05/30/2014
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