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Organization
WOODLAND NEPHROLOGY MED GRP
Active
Organization
WOODLAND NEPHROLOGY MED GRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDIE ANDERSON (OFFICE MANAGER)
(530) 668-3600
Entity
Organization
Contact information
Practice address
520 COTTONWOOD ST, SUITE 2, WOODLAND, CA 95695-3603
(530) 668-3600
(530) 668-3601
Mailing address
520 COTTONWOOD ST, SUITE 2, WOODLAND, CA 95695-3603
(530) 668-3600
(530) 668-3601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G433540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0087050
—
CA
Enumeration date
05/04/2007
Last updated
02/01/2008
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