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Organization
SHASTA REGIONAL MEDICAL GROUP, INC
Active
Organization
SHASTA REGIONAL MEDICAL GROUP, INC
Active
Parent organization
SHASTA REGIONAL MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHASTA REGIONAL MEDICAL GROUP, INC
Authorized official
DANIELLE ELAINA CUTLIP (PRACTICE MANAGER)
(530) 605-4263
Entity
Organization
Contact information
Practice address
50 ALAMO AVE, WEED, CA 96094-2352
(530) 605-4263
Mailing address
50 ALAMO AVE, WEED, CA 96094-2352
(530) 605-4263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
08/11/2015
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