Organization
GENESIS SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK TRUXAL (PRESIDENT)
(916) 801-1673
Entity
Organization
Contact information
Practice address
324 RAINBOW TROUT CT, ROSEVILLE, CA 95747-4628
(916) 801-1673
(916) 781-2425
Mailing address
324 RAINBOW TROUT CT, ROSEVILLE, CA 95747-4628
(916) 801-1673
(916) 781-2425
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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