Konocti Emergency Physicians
NPI #1023263399 in Clearlake, California
Provider Information
- NPI Number
- 1023263399
- Entity Type
- Organization
- Organization Name
- Konocti Emergency Physicians
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Nov 29, 2008
- Last Updated
- Feb 6, 2009
Practice Location
- Address
- 15630 18TH AVE
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-9336
- Phone
- (707) 994-6486
Authorized Official
- Name
- DR. CHARLES T MITCHELL, MD
- Title
- GENERAL PARTNER
- Phone
- (805) 563-3011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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