| Marble Mountain Health | |
|
11219 N Highway 3 Fort Jones CA 96032-9731 | |
| (530) 468-5766 | |
| (530) 468-2023 |
| Full Name | Marble Mountain Health |
|---|---|
| Speciality | Internal Medicine |
| Location | 11219 N Highway 3, Fort Jones, California |
| Authorized Official Name and Position | David Phillip Wilson (OWNER/PHYSICIAN) |
| Authorized Official Contact | 5304685766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marble Mountain Health 11219 N Highway 3 Fort Jones CA 96032-9731 Ph: (530) 468-5766 | Marble Mountain Health 11219 N Highway 3 Fort Jones CA 96032-9731 Ph: (530) 468-5766 |
| NPI Number | 1568639615 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568639615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
Anav Tribal Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9024 Sniktaw Ln, Fort Jones, CA 96032 Phone: 530-468-4470 Fax: 530-468-4478 |