Individual
JOHN C KOFOED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9727
(707) 432-2600
(707) 432-2632
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(855) 771-0335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G46595
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G465950
—
CA
Enumeration date
10/17/2006
Last updated
07/10/2015
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