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Organization
MOUNTAIN EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization
MOUNTAIN EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization
Contact information
Practice address
60 EASTER AVENUE, WEAVERVILLE, CA 96093-1229
(530) 623-5541
Mailing address
PO BOX 3023, SAN DIMAS, CA 91773-7023
(626) 447-0296
(626) 623-1227
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295994812
—
CA
Enumeration date
06/09/2008
Last updated
01/11/2017
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