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Organization
MCCLOUD DBA UROLOGY CLINIC
Active
Organization
MCCLOUD DBA UROLOGY CLINIC
Active
Parent organization
MCCLOUD HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCLOUD HEALTH CENTER
Authorized official
MRS. ROBIN M VELTKAMP (ENROLLMENT)
(231) 924-0244
Entity
Organization
Contact information
Practice address
830 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-3891
Mailing address
830 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-3891
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A21996
CA
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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