Provider Demographics
NPI:1568447878
Name:DENARDO, SALLY J (MD)
Entity Type:Individual
Prefix:DR
First Name:SALLY
Middle Name:J
Last Name:DENARDO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:44336 CLUBHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95618-1019
Mailing Address - Country:US
Mailing Address - Phone:916-734-3787
Mailing Address - Fax:
Practice Address - Street 1:4501 X ST
Practice Address - Street 2:SUITE 3016
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2229
Practice Address - Country:US
Practice Address - Phone:916-734-3787
Practice Address - Fax:916-451-2857
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG12877207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine