Quality Medical-roseville, Pc | |
729 Sunrise Ave Suite 610 Roseville CA 95661-4565 | |
(916) 784-1050 | |
(916) 784-1989 |
Full Name | Quality Medical-roseville, Pc |
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Speciality | Internal Medicine |
Location | 729 Sunrise Ave, Roseville, California |
Authorized Official Name and Position | John T Bakos (OWNER/PHYSICIAN) |
Authorized Official Contact | 9167841050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quality Medical-roseville, Pc 729 Sunrise Ave Suite 610 Roseville CA 95661-4565 Ph: (916) 784-1050 | Quality Medical-roseville, Pc 729 Sunrise Ave Suite 610 Roseville CA 95661-4565 Ph: (916) 784-1050 |
NPI Number | 1801143102 |
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Provider Enumeration Date | 08/07/2012 |
Last Update Date | 04/30/2013 |
Identifier | Type | State | Issuer |
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1801143102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A67792 (California) | Primary |
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