Sonoma Valley Emergency Physician Medical Group, INC

NPI #1417133125 in Mount Shasta, California

Provider Information

NPI Number: 1417133125
Entity Type: Organization
Organization Name: Sonoma Valley Emergency Physician Medical Group, INC
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 11, 2008
Last Updated: Jun 16, 2008

Practice Location

Address: 914 PINE ST
City: Mount Shasta
State: California
ZIP Code: 96067-2143
Phone: (530) 926-6111

Authorized Official

Name: STEVEN P MARON, MD
Title: PRESIDENT
Phone: (707) 935-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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