Sierra Er Department Physicians Medical Group Inc.

NPI #1033570247 in Susanville, California

Provider Information

NPI Number: 1033570247
Entity Type: Organization
Organization Name: Sierra Er Department Physicians Medical Group Inc.
Primary Specialty: Emergency Medicine
Enumeration Date: Mar 15, 2016
Last Updated: Mar 15, 2016

Practice Location

Address: 1800 SPRING RIDGE DR
City: Susanville
State: California
ZIP Code: 96130-6100
Phone: (530) 257-5325

Authorized Official

Name: KRISTOPHER M SMITH
Title: CFO
Phone: (925) 924-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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