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Organization
MOUNT EDDY EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
MOUNT EDDY EMERGENCY PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(925) 225-5837
Entity
Organization
Contact information
Practice address
914 PINE ST, MOUNT SHASTA, CA 96067-2143
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316299787
—
CA
Enumeration date
10/10/2012
Last updated
06/24/2021
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