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Organization
NEDLEY CLINIC P C
Active
Organization
NEDLEY CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL A NEDLEY MD (OWNER)
(530) 422-7920
Entity
Organization
Contact information
Practice address
20601 W PAOLI LN, WEIMAR, CA 95736
(530) 422-7920
Mailing address
PO BOX 654, WEIMAR, CA 95736-0654
(530) 422-7920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16858
OK
207RC0000X
Cardiovascular Disease Physician
1658
OK
207RG0100X
Gastroenterology Physician
16858
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100710290A
—
OK
Enumeration date
10/03/2006
Last updated
11/15/2022
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