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Organization
P. HAINES ELY, M.D. INC.
Active
Organization
P. HAINES ELY, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARRY HAINES ELY M.D. (PRESIDENT OWNER)
(530) 477-7546
Entity
Organization
Contact information
Practice address
565 BRUNSWICK ROAD, SUITE 7, GRASS VALLEY, CA 95945
(530) 477-7546
(530) 477-0712
Mailing address
565 BRUNSWICK ROAD, SUITE 7, GRASS VALLEY, CA 95945
(530) 477-7546
(530) 477-0712
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G22469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396706370
INDIVIDUAL NPI
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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