Individual provider · Type 1 NPI
Dale Thomas Risenhoover, PA-C
Medical Physician Assistant · Sacramento, CA
NPI number
1407228208
Active
Practice location
1500 21st St
Sacramento, CA 95811-5216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA52935 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1407228208
Dale Thomas Risenhoover, PA-C's National Provider Identifier is 1407228208, issued on Oct 20, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Sacramento, CA. The record was last updated on Jan 3, 2022.