Dixon Nephrology Medical Group
Specialist in Dixon, CA. Organization (NPI-2).
NPI number1265677751
StatusActive
Last updated in NPPESDec 11, 2008
Details
- NPI
- 1265677751
- Entity type
- Organization (NPI-2)
- Legal business name
- Dixon Nephrology Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 11, 2008
- Last updated
- Dec 11, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | G43354 | CA | Yes |
Practice location
125 N Lincoln St Ste DDixon, CA 95620-3259
Phone 707-678-5600 · Fax 707-678-5610
Mailing address
520 Cottonwood St Ste 2Woodland, CA 95695-3603
Phone 530-668-3600 · Fax 530-668-3601
Authorized official
Keith R Volkerts
Coo
5306683600
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