Sally Sample MD Inc

Contractor · Davis, CA

Organization Active NPI

NPI number 1881086072

Practice location

658 Bianco Ct
Davis, CA 95616-0608
Phone
(530) 220-0176

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NPI record

NPI
1881086072
Entity type
Organization (Type 2)
Enumeration date
February 24, 2015
Last updated
February 24, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Contractor Primary 171W00000X — —

Authorized official

Name
Sally Sample, M.D.
Title
Medical Doctor
Phone
(530) 220-0176

About Sally Sample MD Inc

Sally Sample MD Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Contractor (code 171W00000X). The practice location is 658 Bianco Ct, Davis, CA 95616-0608. The NPI number 1881086072 was assigned on February 24, 2015 and the record was last updated on February 24, 2015.

The authorized official for this organization is Sally Sample, M.D., Medical Doctor.

Frequently asked questions

What is the NPI number of Sally Sample MD Inc?

The NPI number is 1881086072.

What is the phone number of Sally Sample MD Inc?

The phone number listed for the practice location is (530) 220-0176.

Where is Sally Sample MD Inc located?

658 Bianco Ct, Davis, CA 95616-0608.

What is the taxonomy code for Sally Sample MD Inc?

The primary taxonomy code is 171W00000X – Contractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.