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Organization
AMETHYST MEDICAL GROUP, INC.
Active
Organization
AMETHYST MEDICAL GROUP, INC.
Active
Other names
Amethyst Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINIFRED MYRNA LOESCH MD (PRESIDENT)
(530) 798-5003
Entity
Organization
Contact information
Practice address
590 SEARLS AVE, SUITE A, NEVADA CITY, CA 95959-3043
(530) 798-5003
(530) 271-2338
Mailing address
590 SEARLS AVE, SUITE A, NEVADA CITY, CA 95959-3043
(530) 798-5003
(530) 271-2338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C422920
PPIN
CA
Enumeration date
08/31/2006
Last updated
08/19/2010
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