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Organization
MOUNT SHASTA PHYSICIANS INC
Active
Organization
MOUNT SHASTA PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN C PURTZER M.D. (PRESIDENT)
(530) 949-4862
Entity
Organization
Contact information
Practice address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 949-4862
(530) 242-5039
Mailing address
444 BRUCE ST, YREKA, CA 96097-3450
(530) 949-4862
(530) 242-5039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
56103
CA
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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