Individual provider · Type 1 NPI

Jeffrey Steven Fountain, DO

Diagnostic Radiology Physician · Sacramento, CA

NPI number 1245420447 Active

Practice location

816 D St, Apt 13
Sacramento, CA 95814-0719

Call (952) 595-1100 Map

Fax (612) 294-4903

Mailing address

11995 Singletree Ln, Ste 500
Eden Prairie, MN 55344-5347

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X5101017332 (MI)
Diagnostic Radiology Physician Primary 2085R0202X12177 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1245420447

Jeffrey Steven Fountain, DO's National Provider Identifier is 1245420447, issued on Jul 25, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Sacramento, CA. The record was last updated on May 21, 2014.