Statnote | |
2027 Cannery Loop Davis CA 95616-0776 | |
(323) 391-3442 | |
Not Available |
Full Name | Statnote |
---|---|
Speciality | Family Medicine |
Location | 2027 Cannery Loop, Davis, California |
Authorized Official Name and Position | Gerardo Guerra Bonilla (CEO) |
Authorized Official Contact | 3233913442 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Statnote 2020 5th St # 1478 Davis CA 95616-4019 Ph: () - | Statnote 2027 Cannery Loop Davis CA 95616-0776 Ph: (323) 391-3442 |
NPI Number | 1447977061 |
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Provider Enumeration Date | 10/25/2022 |
Last Update Date | 10/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447977061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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