| Midtown Primary Care Associates Medical Group, Inc. | |
|
970 Reserve Dr Suite 149 Roseville CA 95678-1376 | |
| (916) 290-8672 | |
| Not Available |
| Full Name | Midtown Primary Care Associates Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 970 Reserve Dr, Roseville, California |
| Authorized Official Name and Position | Pamela J Mcdonald (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 9162908672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Primary Care Associates Medical Group, Inc. 970 Reserve Dr Suite 149 Roseville CA 95678-1376 Ph: (916) 290-8672 | Midtown Primary Care Associates Medical Group, Inc. 970 Reserve Dr Suite 149 Roseville CA 95678-1376 Ph: (916) 290-8672 |
| NPI Number | 1972657393 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 10/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972657393 | NPI | - | NPPES |
| 00G42424240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G42424 (California) | Primary |
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