Organization · Type 2 NPI

Folsom Obstetrics & Gynecology Medical Group Inc

Specialist · Folsom, CA

NPI number 1285750505 Active

Practice location

1735 Creekside Dr
Folsom, CA 95630-3457

Call (916) 983-3500 Map

Fax (916) 983-8437

Mailing address

9474 Swan Lake Dr
Granite Bay, CA 95746-7205

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	G51481 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

Other specialist providers in Folsom

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NPI record

NPI: 1285750505
Entity type: Organization (Type 2)
Issued: Mar 21, 2007
Last updated: Dec 28, 2015
Status: Active

Other names

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Folsom Obstetrics and Gynecology Medical Group Inc · doing business as

Authorized official

Dr. Jeffrey Richard Cragun, MD
Owner President
(916) 983-3500

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285750505

Folsom Obstetrics & Gynecology Medical Group Inc's National Provider Identifier is 1285750505, issued on Mar 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Folsom, CA. The record was last updated on Dec 28, 2015.