| Katherine R. Newcomb M.d. Medical Corp | |
|
18661 Main St Groveland CA 95321-9432 | |
| (209) 962-7121 | |
| (209) 962-0665 |
| Full Name | Katherine R. Newcomb M.d. Medical Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 18661 Main St, Groveland, California |
| Authorized Official Name and Position | Katherine Renee Newcomb (CEO) |
| Authorized Official Contact | 2097705283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine R. Newcomb M.d. Medical Corp 21340 Beaver Ct Groveland CA 95321-9504 Ph: (209) 770-5283 | Katherine R. Newcomb M.d. Medical Corp 18661 Main St Groveland CA 95321-9432 Ph: (209) 962-7121 |
| NPI Number | 1285977587 |
|---|---|
| Provider Enumeration Date | 04/04/2013 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285977587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G59102 (California) | Primary |
Groveland Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18661 Highway 120, Groveland, CA 95321 Phone: 209-962-7121 Fax: 209-533-7696 |