NPI 1992292965

Downriver, PC

Organisation Electrodiagnostic Medicine Physician Fair Oaks, CA

Practice location

Address: 3906 Edgevale CT, Fair Oaks, CA 95628-7612
Phone: (972) 412-5299
Fax: (469) 453-3374
Mailing address: Dept. 880231 PO Box 29650, Phoenix, AZ 85038-9650

Authorised official

Name: Tyler G Smith
Title: Sole Mbr
Phone: (800) 310-7334

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in California →

Registry record

NPI: 1992292965
Entity type: Organization
NPI issued: 16 Apr 2018
Record last updated: 10 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.