| Viteledoc Llc | |
|
933 3rd St Crescent City CA 95531-4302 | |
| (707) 343-8884 | |
| Not Available |
| Full Name | Viteledoc Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 933 3rd St, Crescent City, California |
| Authorized Official Name and Position | Dustin Jacot (OWNER) |
| Authorized Official Contact | 7073438884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Viteledoc Llc 933 3rd St Crescent City CA 95531-4302 Ph: (707) 343-8884 | Viteledoc Llc 933 3rd St Crescent City CA 95531-4302 Ph: (707) 343-8884 |
| NPI Number | 1194434464 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 12/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194434464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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