STACY J BERRONG

WOODLAND, CA
NPI1760407787
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A8432)
Additional Taxonomies207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: CA  20A8432)
Enumeration Date2006-07-12
Last Update Date2015-11-18
Business Address
Dr. STACY J BERRONG DO
632 W GIBSON RD
WOODLAND, CA 95695
Phone number: 530-666-1631
Mailing Address
Dr. STACY J BERRONG DO
3400 DATA DR 1ST
RANCHO CORDOVA, CA 95670-7956
Phone number: 916-379-2861