Shasta Regional Medical Group, INC
NPI #1588048680 in Weed, California
Provider Information
- NPI Number
- 1588048680
- Entity Type
- Organization
- Organization Name
- Shasta Regional Medical Group, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHASTA REGIONAL MEDICAL GROUP, INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 17, 2015
- Last Updated
- Aug 11, 2015
Practice Location
- Address
- 50 ALAMO AVE
- City
- Weed
- State
- California
- ZIP Code
- 96094-2352
- Phone
- (530) 605-4263
Authorized Official
- Name
- DANIELLE ELAINA CUTLIP
- Title
- PRACTICE MANAGER
- Phone
- (530) 605-4263
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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