Mount Eddy Emergency Physicians Medical Group, INC.
Emergency Medicine in Mount Shasta, CA. Organization (NPI-2).
NPI number1316299787
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1316299787
- Entity type
- Organization (NPI-2)
- Legal business name
- Mount Eddy Emergency Physicians Medical Group, INC.
- Organization subpart
- No
- Enumeration date
- Oct 10, 2012
- Certification date
- Jun 24, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
914 Pine StMount Shasta, CA 96067-2143
Phone 330-493-4443
Mailing address
4535 Dressler Rd NwCanton, OH 44718-2545
Phone 330-493-4443 · Fax 330-493-8677
Authorized official
Steven P. Maron
President
9252255837
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All 8 Emergency Medicine Physician providers in Mount Shasta · All 273 providers in Mount Shasta
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