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Organization
PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D.
Active
Organization
PHILIP L. OLKIN, M.D. AND C. RAY JONES, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHLEEN MORIARTY (OFFICE MANAGER)
(707) 725-3318
Entity
Organization
Contact information
Practice address
3302 RENNER DR, FORTUNA, CA 95540-3120
(707) 725-3318
(707) 725-9396
Mailing address
3302 RENNER DR, PO BOX 835, FORTUNA, CA 95540-3120
(707) 725-3318
(707) 725-9396
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C429870
—
CA
05
—
00G322530
—
CA
01
—
C49287
DR JONES LIC #
CA
01
—
G32253
DR OLKIN LIC #
CA
05
—
RHM53808F
—
CA
Enumeration date
12/12/2006
Last updated
07/21/2022
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