Basic Information
Provider Information
NPI: 1619174844
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARTHUR
FirstName: REBECCA
MiddleName: AFBA
NamePrefix:  
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 DATA DR 1ST
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 956707956
CountryCode: US
TelephoneNumber: 9163792861
FaxNumber: 9168583205
Practice Location
Address1: 1321 COTTONWOOD ST STE F13
Address2:  
City: WOODLAND
State: CA
PostalCode: 95695
CountryCode: US
TelephoneNumber: 5306682600
FaxNumber: 5306612410
Other Information
ProviderEnumerationDate: 06/29/2007
LastUpdateDate: 06/28/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA106203CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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