Provider Demographics
NPI:1891895439
Name:PRIEST, ANNE M (DO)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:M
Last Name:PRIEST
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:10470 OLD PLACERVILLE RD
Mailing Address - Street 2:#100
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-2539
Mailing Address - Country:US
Mailing Address - Phone:800-470-0071
Mailing Address - Fax:
Practice Address - Street 1:2575 E BIDWELL ST
Practice Address - Street 2:#100
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-6444
Practice Address - Country:US
Practice Address - Phone:916-817-3700
Practice Address - Fax:916-817-3701
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2015-05-15
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Provider Licenses
StateLicense IDTaxonomies
CA20A8937171100000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00AX89370Medicaid
CA00AX89370Medicaid
020A89370Medicare ID - Type Unspecified