SIERRA NEVADA PRIMARY CARE

GRASS VALLEY, CA
NPI1548458839
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  A26753)
Enumeration Date2007-10-11
Last Update Date2007-10-11
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
PO BOX 459001
GRASS VALLEY, CA 95945-9101
Phone number: 530-272-9780