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Organization
WILDWOOD MEDICAL, A MEDICAL CORP.
Active
Organization
WILDWOOD MEDICAL, A MEDICAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINNY L. BACKUS (BILLING CLERK)
(530) 477-6830
Entity
Organization
Contact information
Practice address
11244 PLEASANT VALLEY RD, PENN VALLEY, CA 95946
(530) 432-4937
(530) 432-5261
Mailing address
11244 PLEASANT VALLEY RD, PENN VALLEY, CA 95946
(530) 432-4937
(530) 432-5261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
07/29/2009
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