| Gregory Valceschini, M.d. Professional Corporation | |
|
1680 Bunyan Rd Susanville CA 96130-3133 | |
| (530) 257-5730 | |
| Not Available |
| Full Name | Gregory Valceschini, M.d. Professional Corporation |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1680 Bunyan Rd, Susanville, California |
| Authorized Official Name and Position | Greg Valceschini (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5302575730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Valceschini, M.d. Professional Corporation Po Box 270130 Susanville CA 96127-0003 Ph: (530) 257-5730 | Gregory Valceschini, M.d. Professional Corporation 1680 Bunyan Rd Susanville CA 96130-3133 Ph: (530) 257-5730 |
| NPI Number | 1801076641 |
|---|---|
| Provider Enumeration Date | 11/09/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801076641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G060595 (California) | Primary |
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