| Providence Queen Of The Valley Medical Center | |
|
3448 Villa Ln Suite 102 Napa CA 94558 | |
| (707) 251-2000 | |
| (707) 257-7721 |
| Full Name | Providence Queen Of The Valley Medical Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3448 Villa Ln, Napa, California |
| Authorized Official Name and Position | Donald Wayne Anderson (ASSISTANT SECRETARY FOR ENROLLMENT) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Queen Of The Valley Medical Center 3448 Villa Ln Suite 102 Napa CA 94558-6471 Ph: (707) 251-2000 | Providence Queen Of The Valley Medical Center 3448 Villa Ln Suite 102 Napa CA 94558 Ph: (707) 251-2000 |
| NPI Number | 1356564173 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 09/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356564173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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