| |
18687 Main St Ste D1, Groveland, CA 95321-9463 | |
(209) 962-0662 | |
(877) 422-8884 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 18687 Main St Ste D1, Groveland, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114433653 | NPI | - | NPPES |
DC01074600 | Medicaid | CA | |
350052177 | Other | RAILROAD MEDICARE | |
DC0107460 | Other | CA | BLUE SHIELD OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC10746 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 845, Groveland, CA 95321-0845 Ph: (209) 962-0662 | 18687 Main St Ste D1, Groveland, CA 95321-9463 Ph: (209) 962-0662 |
Dr. Ronald Edgar Oler, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18687 Main Street, Suite D1, Groveland, CA 95321 Phone: 209-962-0662 Fax: 209-962-0455 |