Organization
PLACER SURGERY GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL G RIDGEWAY M.D. (PRESIDENT)
(916) 652-4994
Entity
Organization
Contact information
Practice address
5001 AUBURN FOLSOM RD, LOOMIS, CA 95650-9420
(916) 652-4994
Mailing address
5001 AUBURN FOLSOM RD, LOOMIS, CA 95650-9420
(916) 652-4994
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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