Marble Mountain Health

NPI #1568639615 in Fort Jones, California

Provider Information

NPI Number: 1568639615
Entity Type: Organization
Organization Name: Marble Mountain Health
Primary Specialty: Internal Medicine
Enumeration Date: May 8, 2008
Last Updated: May 8, 2008

Practice Location

Address: 11219 N HIGHWAY 3
City: Fort Jones
State: California
ZIP Code: 96032-9731
Phone: (530) 468-5766

Authorized Official

Name: DR. DAVID PHILLIP WILSON, M.D.
Title: OWNER/PHYSICIAN
Phone: (530) 468-5766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Obstetrics — Obstetrics	207VX0000X
Internal Medicine	207R00000X	Primary

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