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NPI Code Detail

MEDICARE: DR. JERRY D LABSON M.D.

MEDICARE:  DR. JERRY D LABSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianA60918CA

General Provider Information

NPI Number : 1346231644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JERRY D LABSON M.D.
Provider Business Mailing Address
First Line : 10470 OLD PLACERVILLE RD
Second Line : SUITE 100
City : SACRAMENTO
State : CA
Zip : 95827-2539
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 2725 CAPITOL AVE DEPT 302
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-6006
Country : US
Telephone Number : 916-441-0400
Fax Number : 916-441-0406
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/04/2005
Last Update Date : 07/22/2015

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