Saly Sisouvong M.D.

NPI 1407040991 - Internal Medicine - 207R00000X

NPI Details
NPI 1407040991
Gender Male
Enumeration Date 08/28/2007
Last Updated 08/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
280 W MACARTHUR BLVD
OAKLAND CA, 94611-5642, US
Phone (510) 752-1000
Fax
Business Location
495 TOWNSEND DR
BENICIA CA, 94510-3952, US
Phone (707) 319-9460
Fax
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number A 99507
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According to our database, Saly Sisouvong M.D. NPI is 1407040991, taxonomy code is 207R00000X and license number is A 99507, license state is located at California. Saly Sisouvong M.D. physically located at 280 W Macarthur Blvd, Oakland CA, 94611-5642. NPI Number Saly Sisouvong M.D. has the Individual type.

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1407040991 NPI number is provided on an as is basis without warranty of any kind. 1407040991 is maintained by the National Plan & Provider Enumeration System. The contents of Saly Sisouvong M.D. are for informational purposes only.