SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION

GRASS VALLEY, CA
NPI1427072008
Doing Business AsSIERRA CARE PHYSICIANS, AMC
Entity TypeOrganization
Authorized ContactDOUGLAS E WAGNER
President, Board Of Directors
530-477-4016
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  20A7940)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: CA  1730163791)
207Q00000X Family Medicine
(Licence: CA  C52481)
Enumeration Date2006-07-27
Last Update Date2012-04-02
Business Address
SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION
140 LITTON DR STE 100
GRASS VALLEY, CA 95945-5078
Phone number: 530-477-4016
Mailing Address
SIERRA NEVADA PRIMARY CARE PHYSICIANS A MEDICAL CORPORATION
P.O BOX 459001
GRASS VALLEY, CA 95945-9109
Phone number: 530-477-4016
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