Mercy Medical Group
NPI #1073829636 in Cameron Park, California
Provider Information
- NPI Number
- 1073829636
- Entity Type
- Organization
- Organization Name
- Mercy Medical Group
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Aug 20, 2010
- Last Updated
- Oct 23, 2012
Practice Location
- Address
- 3427 ROBIN LN
- Address 2
- 100
- City
- Cameron Park
- State
- California
- ZIP Code
- 95682-7254
- Phone
- (530) 676-7337
Authorized Official
- Name
- KENNY HEINE
- Title
- SR. DIRECTOR OPERATIONS
- Phone
- (858) 625-2990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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