1150 Main Street INC
NPI #1912347261 in Watsonville, California
Provider Information
- NPI Number
- 1912347261
- Entity Type
- Organization
- Organization Name
- 1150 Main Street INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 1, 2013
- Last Updated
- Jul 1, 2013
Practice Location
- Address
- 1150 MAIN ST STE 3
- City
- Watsonville
- State
- California
- ZIP Code
- 95076-3760
- Phone
- (831) 728-0551
Authorized Official
- Name
- SHIRLEY L DICKINSON, M.D.
- Title
- MANAGER
- Phone
- (831) 728-0551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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