| Marley Creek Rural Health Inc | |
|
900 N Heritage Dr Ste A Ridgecrest CA 93555-5540 | |
| (760) 446-4571 | |
| (760) 446-3819 |
| Full Name | Marley Creek Rural Health Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 900 N Heritage Dr Ste A, Ridgecrest, California |
| Authorized Official Name and Position | Douglas E Roberts (PRESIDENT) |
| Authorized Official Contact | 7604464571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marley Creek Rural Health Inc 900 N Heritage Dr Ste A Ridgecrest CA 93555-5540 Ph: (760) 446-4571 | Marley Creek Rural Health Inc 900 N Heritage Dr Ste A Ridgecrest CA 93555-5540 Ph: (760) 446-4571 |
| NPI Number | 1629212956 |
|---|---|
| Provider Enumeration Date | 04/30/2009 |
| Last Update Date | 06/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629212956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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