Carolyn A Matzinger Md A Professional Corporation | |
1800 Spring Ridge Dr Susanville CA 96130-6100 | |
(530) 252-2000 | |
Not Available |
Full Name | Carolyn A Matzinger Md A Professional Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1800 Spring Ridge Dr, Susanville, California |
Authorized Official Name and Position | Carolyn A Matzinger (PHYSICIAN) |
Authorized Official Contact | 7023801974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolyn A Matzinger Md A Professional Corporation 10620 Southern Highlands Pkwy Suite 110-419 Las Vegas NV 89141-4371 Ph: (702) 380-1974 | Carolyn A Matzinger Md A Professional Corporation 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (530) 252-2000 |
NPI Number | 1639304116 |
---|---|
Provider Enumeration Date | 05/27/2009 |
Last Update Date | 05/27/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639304116 | NPI | - | NPPES |
C50852 | Other | CA | CALIFORNIA MEDICAL LICENSE |
10187 | Other | NV | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C50852 (California) | Primary |
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