JEFFERSON NEUROLOGY, LLC

MOUNT SHASTA, CA
NPI1114239720
Entity TypeOrganization
Authorized ContactZAKIR M ALI
Owner
541-482-5515
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: CA  A88303)
Enumeration Date2010-07-12
Last Update Date2010-07-12
Business Address
JEFFERSON NEUROLOGY, LLC
822 PINE ST
MOUNT SHASTA, CA 96067-2137
Phone number: 530-926-1039
Mailing Address
JEFFERSON NEUROLOGY, LLC
PO BOX 1470
PHOENIX, OR 97535-1470
Phone number: 541-512-0511