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NPI Code Detail

MEDICARE: SETH ROCKER MAYS PA

MEDICARE: SETH ROCKER MAYS PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1780339556
Entity Type Code : Individual
Provider Name (Legal Business Name) : SETH ROCKER MAYS PA
Provider Business Mailing Address
First Line : 3608 6TH AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-3279
Country : US
Telephone Number : 304-951-4579
Fax Number :
Provider Business Practice Location Address
First Line : 12417 FAIR OAKS BLVD STE 600
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2500
Country : US
Telephone Number : 916-727-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2022
Last Update Date : 02/19/2022

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Directions to “ SETH ROCKER MAYS PA” Practice Location

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