William Michael Culver Md | |
6156 Pony Express Trl Pollock Pines CA 95726-9649 | |
(530) 644-6044 | |
(530) 644-0125 |
Full Name | William Michael Culver Md |
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Speciality | Clinic/center - Primary Care |
Location | 6156 Pony Express Trl, Pollock Pines, California |
Authorized Official Name and Position | William Michael Culver (CEO/PHYSICIAN) |
Authorized Official Contact | 5306446044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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William Michael Culver Md 6156 Pony Express Trl Pollock Pines CA 95726-9649 Ph: (530) 644-6044 | William Michael Culver Md 6156 Pony Express Trl Pollock Pines CA 95726-9649 Ph: (530) 644-6044 |
NPI Number | 1588973788 |
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Provider Enumeration Date | 10/05/2010 |
Last Update Date | 02/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588973788 | NPI | - | NPPES |
4774218 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | G32582 (California) | Primary |