SIERRA NEVADA PRIMARY CARE

GRASS VALLEY, CA
NPI1235145608
Doing Business AsSIERRA CARE PHYSICIANS
Entity TypeOrganization
Authorized ContactDOUGLAS E WAGNER
President, Board Of Directors
530-272-9780
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  G61414)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  G35403)
208000000X Pediatrics
(Licence: CA  G237680)
208000000X Pediatrics
(Licence: CA  A26753)
208000000X Pediatrics
(Licence: CA  A71856)
208000000X Pediatrics
(Licence: CA  G34453)
Enumeration Date2006-07-31
Last Update Date2020-08-22
Business Address
SIERRA NEVADA PRIMARY CARE
140 LITTON DR STE 100
GRASS VALLEY, CA 95945-5078
Phone number: 530-272-9780
Mailing Address
SIERRA NEVADA PRIMARY CARE
P.O. BOX 459001
GRASS VALLEY, CA 95945-9109
Phone number: 530-477-4016
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