Nevada City Medical Office Inc A Professional Corporation | |
470 So Auburn St Suite E Grass Valley CA 95945 | |
(530) 477-0906 | |
Not Available |
Full Name | Nevada City Medical Office Inc A Professional Corporation |
---|---|
Speciality | Internal Medicine |
Location | 470 So Auburn St, Grass Valley, California |
Authorized Official Name and Position | Jonathan Lacey Pierce (CFO) |
Authorized Official Contact | 5302739992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nevada City Medical Office Inc A Professional Corporation 470 So Auburn St Suite E Grass Valley CA 95945 Ph: (530) 477-0906 | Nevada City Medical Office Inc A Professional Corporation 470 So Auburn St Suite E Grass Valley CA 95945 Ph: (530) 477-0906 |
NPI Number | 1336236355 |
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Provider Enumeration Date | 10/10/2006 |
Last Update Date | 01/18/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336236355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A498360 (California) | Primary |
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