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Organization
TRUCKEE TAHOE MEDICAL GROUP INC
Active
Organization
TRUCKEE TAHOE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI HOLODAY (MANAGER)
(530) 581-8864
Entity
Organization
Contact information
Practice address
10956 DONNER PASS RD, TRUCKEE, CA 96161-4861
(530) 581-8864
Mailing address
PO BOX 68, TRUCKEE, CA 96160-0068
(530) 581-8864
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2005
Last updated
05/16/2014
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