Provider Demographics
NPI:1578848347
Name:CABANNE, MARC B (DO)
Entity Type:Individual
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First Name:MARC
Middle Name:B
Last Name:CABANNE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2001 RATTLESNAKE RD
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:CA
Mailing Address - Zip Code:95658-9722
Mailing Address - Country:US
Mailing Address - Phone:916-663-2100
Mailing Address - Fax:916-663-2103
Practice Address - Street 1:1625 CREEKSIDE DR STE 200
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-3819
Practice Address - Country:US
Practice Address - Phone:916-365-9590
Practice Address - Fax:916-292-8098
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2020-04-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A12580207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A12580OtherOSTEOPATHIC BOARD