| Nevada City Medical Office Inc A Professional Corporation | |
|
470 So Auburn St Suite E Grass Valley CA 95945 | |
| (530) 477-0906 | |
| Not Available |
| Full Name | Nevada City Medical Office Inc A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 470 So Auburn St, Grass Valley, California |
| Authorized Official Name and Position | Jonathan Lacey Pierce (CFO) |
| Authorized Official Contact | 5302739992 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada City Medical Office Inc A Professional Corporation 470 So Auburn St Suite E Grass Valley CA 95945 Ph: (530) 477-0906 | Nevada City Medical Office Inc A Professional Corporation 470 So Auburn St Suite E Grass Valley CA 95945 Ph: (530) 477-0906 |
| NPI Number | 1336236355 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 01/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336236355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A498360 (California) | Primary |
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