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Organization
MARLEY CREEK RURAL HEALTH INC
Active
Organization
MARLEY CREEK RURAL HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS E ROBERTS JR. M.D. (PRESIDENT)
(760) 446-4571
Entity
Organization
Contact information
Practice address
900 N HERITAGE DR STE A, RIDGECREST, CA 93555-5540
(760) 446-4571
(760) 446-3819
Mailing address
900 N HERITAGE DR STE A, RIDGECREST, CA 93555-5540
(760) 446-4571
(760) 446-3819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
04/30/2009
Last updated
06/22/2010
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