Marley Creek Rural Health INC
Family Medicine in Ridgecrest, CA. Organization (NPI-2).
NPI number1629212956
StatusActive
Last updated in NPPESJun 22, 2010
Details
- NPI
- 1629212956
- Entity type
- Organization (NPI-2)
- Legal business name
- Marley Creek Rural Health INC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2009
- Last updated
- Jun 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207R00000X | Internal Medicine | – | – |
Practice location
900 N Heritage Dr Ste ARidgecrest, CA 93555-5540
Phone 760-446-4571 · Fax 760-446-3819
Mailing address
900 N Heritage Dr Ste ARidgecrest, CA 93555-5540
Phone 760-446-4571 · Fax 760-446-3819
Authorized official
Douglas E Roberts
President
7604464571
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