Medestate Inc.
NPI #1508946476 in American Canyon, California
Provider Information
- NPI Number
- 1508946476
- Entity Type
- Organization
- Organization Name
- Medestate Inc.
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Dec 29, 2011
Practice Location
- Address
- 3431 BROADWAY ST
- Address 2
- SUITE A-8
- City
- American Canyon
- State
- California
- ZIP Code
- 94503-1228
- Phone
- (707) 645-7229
Authorized Official
- Name
- DR. KENNETH RICHARD BROOKS, M.D.
- Title
- PRESIDENT / CEO
- Phone
- (707) 645-7229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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