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Organization

NORTH STATE HEALTH CLINIC, INC.

Active
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Organization

NORTH STATE HEALTH CLINIC, INC.

Active
Other names
CHILDREN'S CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANJIV KUMAR MIDHA M.D. (SECRETORY)
(530) 674-2100
Entity
Organization

Contact information

Practice address
314 H ST, STE-A, MARYSVILLE, CA 95901-5832
(530) 674-2100
(530) 674-2277
Mailing address
1215 PLUMAS ST, STE-1900, YUBA CITY, CA 95991-3455
(530) 674-2100
(530) 674-2277

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A070328
CA

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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