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1205459971
BRENTWOOD OFTEDAL
SACRAMENTO, CA
NPI
1205459971
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA 188339)
Enumeration Date
2020-05-28
Last Update Date
2024-03-13
Business Address
Dr. BRENTWOOD OFTEDAL MD
2315 STOCKTON BLVD STE 2100
SACRAMENTO, CA 95817-2201
Phone number: 916-734-5016
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Mailing Address
Dr. BRENTWOOD OFTEDAL MD
68-1845 WAIKOLOA RD #106 PMB 251
WAIKOLOA, HI 96738
Phone number:
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