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Organization

UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD CALLAHAN MCMPA (ASSOCIATE DEAN OF ACADEMIC PERSONNE)
(916) 734-4603
Entity
Organization

Contact information

Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817
(916) 734-3774
(916) 734-7920
Mailing address
4150 V STREET, PSSB 3500, SACRAMENTO, CA 95817
(916) 734-3774
(916) 734-7920

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G20168
CA

Other

Enumeration date
09/04/2009
Last updated
09/09/2009
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