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Organization
NORTH JETTY HOSPITALISTS INC A MEDICAL CORPORATION
Active
Organization
NORTH JETTY HOSPITALISTS INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN E SCHUNK MD (PRESIDENT)
(707) 822-3621
Entity
Organization
Contact information
Practice address
3800 JANES ROAD, ARCATA, CA 95521-4742
(707) 822-3621
Mailing address
PO BOX 60039, ARCADIA, CA 91066-6039
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
202545078
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0100520
—
CA
Enumeration date
06/09/2006
Last updated
06/17/2008
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