Ukiah Valley Primary Care Medical Group, Inc

NPI 1699759332 - Clinic/Center - 261QM1300X

NPI Details
NPI 1699759332
Enumeration Date 12/06/2005
Last Updated 06/03/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JEREMY JEREMY
Position PRESIDENT, BOARD OF DIRECTORS
Phone (707) 463-8000
Fax (707) 462-1111
Practice Location
260 HOSPITAL DR. STE. 207
UKIAH CA, 95482-4533, US
Phone (707) 463-8000
Fax (707) 462-1111
Business Location
PO BOX 2739
UKIAH CA, 95482-2739, US
Phone (707) 463-8000
Fax (707) 462-1111
Toxanomy
Taxonomy Code 261QM1300X
License State
License Number
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According to our database, Ukiah Valley Primary Care Medical Group, Inc NPI is 1699759332, taxonomy code is 261QM1300X Ukiah Valley Primary Care Medical Group, Inc physically located at 260 Hospital Dr. Ste. 207, Ukiah CA, 95482-4533. NPI Number 1033115704 has the healthcare provider type.

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1699759332 NPI number is provided on an as is basis without warranty of any kind. 1699759332 is maintained by the National Plan & Provider Enumeration System. The contents of Ukiah Valley Primary Care Medical Group, Inc are for informational purposes only.