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Organization
SHASTA ANESTHESIA CONSULTANTS A MEDICAL GROUP INC
Active
Organization
SHASTA ANESTHESIA CONSULTANTS A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN W MOON MD (PRESIDENT)
(530) 225-7100
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2509
(530) 225-6000
(530) 243-0445
Mailing address
1134 PINE ST, REDDING, CA 96001
(530) 221-3727
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G80229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0054920
—
CA
Enumeration date
05/20/2006
Last updated
04/09/2014
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