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Organization
NEW MD & URGENT CARE
Active
Organization
NEW MD & URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J VERMILION (OFFICE MANAGER)
(707) 731-1108
Entity
Organization
Contact information
Practice address
3431 BROADWAY ST STE A8, AMERICAN CANYON, CA 94503-1228
(707) 731-1108
(707) 652-2679
Mailing address
3431 BROADWAY ST STE A8, AMERICAN CANYON, CA 94503-1228
(707) 731-1108
(707) 652-2679
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
03836
CA
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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