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NPI Code Detail

MEDICARE: BRIGHT BAFFOUR ADDO MILLS MD

MEDICARE: BRIGHT BAFFOUR ADDO MILLS MD
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
1208600000XSurgery Physician17595CA

General Provider Information

NPI Number : 1689469264
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIGHT BAFFOUR ADDO MILLS MD
Provider Business Mailing Address
First Line : 2335 STOCKTON BLVD FL 5
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2724
Fax Number :
Provider Business Practice Location Address
First Line : 2335 STOCKTON BLVD FL 5
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2201
Country : US
Telephone Number : 916-734-2724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2025
Last Update Date : 05/28/2026

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