Slt Medical Group INC
NPI #1902435894 in South Lake Tahoe, California
Provider Information
- NPI Number
- 1902435894
- Entity Type
- Organization
- Organization Name
- Slt Medical Group INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 3, 2020
- Last Updated
- Apr 3, 2020
Practice Location
- Address
- 2024 LAKE TAHOE BLVD
- City
- South Lake Tahoe
- State
- California
- ZIP Code
- 96150-6498
- Phone
- (406) 334-7470
Authorized Official
- Name
- DR. EDWIN EMMANUEL NEBBLETT, MD
- Title
- CEO
- Phone
- (575) 654-5188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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