Gregory Valceschini, M.d. Professional Corporation | |
1680 Bunyan Rd Susanville CA 96130-3133 | |
(530) 257-5730 | |
Not Available |
Full Name | Gregory Valceschini, M.d. Professional Corporation |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1680 Bunyan Rd, Susanville, California |
Authorized Official Name and Position | Greg Valceschini (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5302575730 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory Valceschini, M.d. Professional Corporation Po Box 270130 Susanville CA 96127-0003 Ph: (530) 257-5730 | Gregory Valceschini, M.d. Professional Corporation 1680 Bunyan Rd Susanville CA 96130-3133 Ph: (530) 257-5730 |
NPI Number | 1801076641 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 11/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801076641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G060595 (California) | Primary |
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