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Organization
MOUNTAIN MEADOWS MEDICAL GROUP OF CALIFORNIA, INC.
Active
Organization
MOUNTAIN MEADOWS MEDICAL GROUP OF CALIFORNIA, INC.
Active
Other names
Tahoe Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS F KOBALTER MD (VICE PRESIDENT)
(530) 543-5710
Entity
Organization
Contact information
Practice address
973 MICA DR STE 200, CARSON CITY, NV 89705-7258
(775) 267-6700
(775) 267-6609
Mailing address
1067 4TH ST, SOUTH LAKE TAHOE, CA 96150-3459
(530) 543-5710
(530) 542-1455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NV
Other
Enumeration date
11/16/2007
Last updated
09/19/2012
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