Innovative Treatment Associates
NPI #1518426857 in Cameron Park, California
Provider Information
- NPI Number
- 1518426857
- Entity Type
- Organization
- Organization Name
- Innovative Treatment Associates
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Mar 17, 2019
- Last Updated
- Apr 4, 2019
Practice Location
- Address
- 3581 PALMER DR STE 601
- City
- Cameron Park
- State
- California
- ZIP Code
- 95682-8238
- Phone
- (530) 556-5363
Authorized Official
- Name
- JOHN RULISON, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (530) 391-9196
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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