# NORTH VALLEY ORTHOPAEDIC MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jack C Nichols II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700079241
- **Authorized official:** DR. JACK C NICHOLS II M.D. (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (530) 246-2430

## Contact information

- **Practice address:** 1230 EAST ST, SUITE A, REDDING, CA 96001-0821
- **Practice address phone:** (530) 246-2430
- **Practice address fax:** (530) 246-1907
- **Mailing address:** PO BOX 848914, BOSTON, MA 08824-8914
- **Mailing address phone:** (530) 246-2430
- **Mailing address fax:** (530) 246-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G35731 | CA | Yes |

## Other

- **Enumeration date:** 08/18/2007
- **Last updated:** 05/06/2008