Sonoma Trail Medical Services, a Med Corp

NPI #1578934923 in Redding, California

Provider Information

NPI Number: 1578934923
Entity Type: Organization
Organization Name: Sonoma Trail Medical Services, a Med Corp
Primary Specialty: Emergency Medicine
Enumeration Date: Oct 12, 2015
Last Updated: Oct 12, 2015

Practice Location

Address: 1100 BUTTE ST
City: Redding
State: California
ZIP Code: 96001-0852
Phone: (469) 401-2386

Authorized Official

Name: CHARLES T MITCHELL
Title: OFFICER
Phone: (469) 401-2386

Specialties & Taxonomy Codes

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

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