UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC

UKIAH, CA
NPI1902038573
Entity TypeOrganization
Authorized ContactDARCIE ANNE ANTLE
Administrator
707-463-8000
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA  A43219)
Enumeration Date2009-08-17
Last Update Date2009-08-17
Business Address
UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC
240 HOSPITAL DR STE A
UKIAH, CA 95482-4558
Phone number: 707-463-8000
Mailing Address
UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC
PO BOX 2739
UKIAH, CA 95482-2739
Phone number: 707-463-8000