| NPI | 1699719419 |
|---|---|
| Doing Business As | SIERRA CARE PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS E WAGNER President, Board Of Directors 530-272-9791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A79401) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A7977) |
| 207Q00000X Family Medicine (Licence: CA G55765) | |
| 207Q00000X Family Medicine (Licence: CA G13927) | |
| 208000000X Pediatrics (Licence: CA G61414) | |
| 208000000X Pediatrics (Licence: CA A71856) | |
| 208000000X Pediatrics (Licence: CA G23768) | |
| 208000000X Pediatrics (Licence: CA G35403) | |
| 208000000X Pediatrics (Licence: CA A26753) | |
| 208000000X Pediatrics (Licence: CA G34453) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-12-12 |