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Individual

STAN M BATISTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 Q ST FL 1, SACRAMENTO, CA 95816-7058
(916) 733-3301
(916) 281-3882
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 379-2871
(916) 853-4730

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
9397
NV
2085R0202X
Diagnostic Radiology Physician
Primary
C52667
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
152968
WC
NV
01
153106
WC
NV
05
200290115
NV
01
NV9641
BCBS
NV
Enumeration date
05/15/2006
Last updated
02/06/2020
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