Organization
REGENTS OF THE UNIV OF CA
Active
Other names
Regents UCDPBG IM Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H MCGOWAN (CFO)
(916) 734-9129
Entity
Organization
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-8046
(916) 734-2732
Mailing address
4900 BROADWAY, SUITE 2600, SACRAMENTO, CA 95820-1532
(916) 734-9200
(916) 734-9336
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRW02104A
—
CA
Enumeration date
11/16/2005
Last updated
08/22/2020
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