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14542 Lolly Ln Sonora CA 95370-9226 | |
(209) 536-3625 | |
(209) 536-2773 |
Full Name | |
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Speciality | Family Medicine |
Location | 14542 Lolly Ln, Sonora, California |
Authorized Official Name and Position | Andrew D. Jahn (VICE PRESIDENT FOR FINANCE) |
Authorized Official Contact | 2095365011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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14542 Lolly Ln Sonora CA 95370-9226 Ph: (209) 536-3996 | 14542 Lolly Ln Sonora CA 95370-9226 Ph: (209) 536-3625 |
NPI Number | 1740271345 |
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Provider Enumeration Date | 11/02/2005 |
Last Update Date | 05/09/2012 |
Identifier | Type | State | Issuer |
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1740271345 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sonora Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13951 Mono Way, Suite A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Kathy Bosch Chiropractic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19515 Village Dr, Ste B, Sonora, CA 95370 Phone: 209-533-4330 Fax: 509-532-5374 | |
William E. Zachow, D.o. Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19747 Greenley Rd, Suite S-2, Sonora, CA 95370 Phone: 602-790-4221 | |