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Organization
DONNER PASS MEDICAL ASSOCIATES
Active
Organization
DONNER PASS MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TIRDEL MD (PHYSICIAN)
(530) 582-6400
Entity
Organization
Contact information
Practice address
10956 DONNER PASS RD, SUITE 260, TRUCKEE, CA 96161-4861
(530) 582-6400
(530) 582-6991
Mailing address
10956 DONNER PASS RD, SUITE 260, TRUCKEE, CA 96161-4861
(530) 582-6400
(530) 582-6991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8850
NV
207R00000X
Internal Medicine Physician
Primary
G069661
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
8850
NV
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
G069661
CA
207RP1001X
Pulmonary Disease Physician
8850
NV
207RP1001X
Pulmonary Disease Physician
G069661
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
8850
NV
207RS0012X
Sleep Medicine (Internal Medicine) Physician
G069661
CA
Other
Enumeration date
01/22/2007
Last updated
10/03/2013
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