Provider Demographics
NPI:1659782100
Name:ANDERSON, JAMIE ELIZABETH (MD)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:UC DAVIS DEPARTMENT OF SURGERY
Mailing Address - Street 2:2335 STOCKTON BLVD., 5TH FLOOR
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-703-4473
Mailing Address - Fax:916-734-5633
Practice Address - Street 1:2315 STOCKTON BLVD
Practice Address - Street 2:SUITE OP 512 PAVILION
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-734-2724
Practice Address - Fax:916-734-5633
Is Sole Proprietor?:No
Enumeration Date:2014-05-17
Last Update Date:2022-12-06
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Provider Licenses
StateLicense IDTaxonomies
CAA1405532086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery