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Organization
RIDGE MEDICAL GROUP INC.
Active
Organization
RIDGE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C JACKSON MD (MD)
(530) 272-0501
Entity
Organization
Contact information
Practice address
10565 BRUNSWICK RD, SUITE 1, GRASS VALLEY, CA 95945-9053
(530) 272-0501
(530) 272-0571
Mailing address
10565 BRUNSWICK RD, SUITE 1, GRASS VALLEY, CA 95945-9053
(530) 272-0501
(530) 272-0571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37527
CA
Other
Enumeration date
12/29/2006
Last updated
08/22/2020
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