Crescent City Internal Medicine
Internal Medicine in Crescent City, CA. Organization (NPI-2).
NPI number1669468930
StatusActive
Last updated in NPPESFeb 28, 2013
Details
- NPI
- 1669468930
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent City Internal Medicine
- Organization subpart
- No
- Enumeration date
- Sep 22, 2005
- Last updated
- Feb 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
1771 Northcrest DrCrescent City, CA 95531-8922
Phone 707-465-8666 · Fax 707-465-8650
Mailing address
1771 Northcrest DrCrescent City, CA 95531-8922
Phone 707-465-8666 · Fax 707-465-8650
Authorized official
Matthew C Blundell
Physician
7074658666
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Other Internal Medicine Physician providers in Crescent City, CA
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All 11 Internal Medicine Physician providers in Crescent City · All 579 providers in Crescent City
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