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Dr. Stacy J Berrong, DO
Obstetrics Physician in Woodland, California
NPI 1760407787

Stacy J Berrong is a Obstetrics Physician based in Rancho Cordova, CA and is specialized in Obstetrics. Stacy J Berrong practices in Woodland, CA and has the professional credentials of DO. The NPI Number for Stacy J Berrong is 1760407787 and holds a License No. 20A8432 (California).

The current practice location address for Stacy J Berrong is 632 W Gibson Rd, Woodland, CA and can be reached out via phone at 530-666-1631 and via fax at 530-668-2697.

Location: 632 W Gibson Rd, Woodland, CA, 95670-7956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760407787
Provider Name
Stacy J Berrong
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
632 W Gibson Rd, Woodland, CA, 95670-7956
Phone Number
530-666-1631
Fax Number
530-668-2697
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00745159 01 CA MEDICARE RAILROAD
00AX84320 05 CA
020A84320 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
632 W Gibson Rd
City
Woodland
State
California
Zip
95695
Phone Number
530-666-1631
Fax Number
530-668-2697
person
Provider Business Mailing Address Details
Address
632 W Gibson Rd
City
Woodland
State
California
Zip
95695
Phone Number
530-666-1631
Fax Number
530-668-2697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
20A8432 (California)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
20A8432 (California)
Definition
Definition to come...
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