| NPI | 1700976172 |
|---|---|
| Doing Business As | SHASTA FAMILY PRACTICE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JACK W FINCH President 530-223-7444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2013-10-17 |