Medestate Inc.

NPI #1386959948 in American Canyon, California

Provider Information

NPI Number
1386959948
Entity Type
Organization
Organization Name
Medestate Inc.
Primary Specialty
Clinic/Center - Urgent Care
Enumeration Date
Aug 6, 2010
Last Updated
Aug 6, 2010

Practice Location

Address
3431 BROADWAY ST
Address 2
SUITE A-8
ZIP Code
94503-1228
Phone
(707) 645-7229

Authorized Official

Name
DR. KENNETH R. BROOKS, MD
Title
PRESIDENT/CEO
Phone
(707) 745-2705

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Urgent CareUrgent Care

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