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Organization
SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC.
Active
Organization
SIERRA ER DEPARTMENT PHYSICIANS MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTOPHER M SMITH (CFO)
(925) 924-1600
Entity
Organization
Contact information
Practice address
1800 SPRING RIDGE DR, SUSANVILLE, CA 96130-6100
(530) 257-5325
Mailing address
5000 HOPYARD RD, SUITE 100, PLEASANTON, CA 94588-3348
(925) 924-1600
(925) 924-0506
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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