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Organization
VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Active
Organization
VALLEY EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Active
Other names
MERCY MT. SHASTA MEDICAL CORPORATION
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVE P. MARON MD (PRESIDENT)
(888) 634-8405
Entity
Organization
Contact information
Practice address
914 PINE STREET, MOUNT SHASTA, CA 96067-2143
(530) 926-6111
Mailing address
P.O. BOX 12259, WESTMINSTER, CA 92685-2259
(888) 634-8405
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G64122
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094390
—
CA
Enumeration date
10/03/2006
Last updated
06/20/2008
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