| Healdsburg Primary Care, A Medical Corporation | |
|
1312 Prentice Drive Healdsburg CA 95448 | |
| (707) 433-3383 | |
| (707) 433-7210 |
| Full Name | Healdsburg Primary Care, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 1312 Prentice Drive, Healdsburg, California |
| Authorized Official Name and Position | Locke L Wilson (PRESIDENT) |
| Authorized Official Contact | 7074333383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healdsburg Primary Care, A Medical Corporation 1312 Prentice Drive Healdsburg CA 95448 Ph: (707) 433-3383 | Healdsburg Primary Care, A Medical Corporation 1312 Prentice Drive Healdsburg CA 95448 Ph: (707) 433-3383 |
| NPI Number | 1821134511 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 10/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821134511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A40925 (California) | Primary |
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