Cancer Detection Program
NPI #1710131867 in Mammoth Lakes, California
Provider Information
- NPI Number
- 1710131867
- Entity Type
- Organization
- Organization Name
- Cancer Detection Program
- Primary Specialty
- General Acute Care Hospital - Critical Access
- Enumeration Date
- Nov 14, 2008
- Last Updated
- Nov 14, 2008
Practice Location
- Address
- 85 SIERRA PARK ROAD
- City
- Mammoth Lakes
- State
- California
- ZIP Code
- 93546
- Phone
- (760) 934-3311
Authorized Official
- Name
- MR. GARY D. BOYD
- Title
- CEO
- Phone
- (760) 934-3311
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital - Critical Access — Critical Access |
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