Healdsburg Primary Care, a Medical Corporation
NPI #1821134511 in Healdsburg, California
Provider Information
- NPI Number
- 1821134511
- Entity Type
- Organization
- Organization Name
- Healdsburg Primary Care, a Medical Corporation
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 29, 2007
- Last Updated
- Oct 20, 2008
Practice Location
- Address
- 1312 PRENTICE DRIVE
- City
- Healdsburg
- State
- California
- ZIP Code
- 95448
- Phone
- (707) 433-3383
Authorized Official
- Name
- LOCKE L WILSON, MD
- Title
- PRESIDENT
- Phone
- (707) 433-3383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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