North Coast Faculty Medical Group

NPI 1033341292 - Emergency Medicine - 207P00000X

NPI Details
NPI 1033341292
Enumeration Date 08/20/2009
Last Updated 09/04/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEVEN E STEVEN
Position PRESIDENT
Phone (707) 279-1888
Fax (707) 279-2832
Practice Location
4135 MAIN ST
KELSEYVILLE CA, 95451-8941, US
Phone (707) 279-1888
Fax (707) 279-2832
Business Location
3883 AIRWAY DR
SUITE 300
SANTA ROSA CA, 95403-1670, US
Phone (707) 521-8809
Fax (707) 521-8835
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, North Coast Faculty Medical Group NPI is 1033341292, taxonomy code is 207P00000X North Coast Faculty Medical Group physically located at 4135 Main St, Kelseyville CA, 95451-8941. NPI Number 1033115704 has the healthcare provider type.

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1033341292 NPI number is provided on an as is basis without warranty of any kind. 1033341292 is maintained by the National Plan & Provider Enumeration System. The contents of North Coast Faculty Medical Group are for informational purposes only.