| Physicians Network Medical Group Inc | |
|
2100 Douglas Blvd Roseville CA 95661-3804 | |
| (916) 789-4209 | |
| (916) 789-4206 |
| Full Name | Physicians Network Medical Group Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2100 Douglas Blvd, Roseville, California |
| Authorized Official Name and Position | David Ormerod (MD/CEO) |
| Authorized Official Contact | 9167894209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Network Medical Group Inc 2100 Douglas Blvd Roseville CA 95661-3804 Ph: (916) 789-4209 | Physicians Network Medical Group Inc 2100 Douglas Blvd Roseville CA 95661-3804 Ph: (916) 789-4209 |
| NPI Number | 1932477874 |
|---|---|
| Provider Enumeration Date | 12/07/2011 |
| Last Update Date | 12/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932477874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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