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Organization
HEALDSBURG PRIMARY CARE, A MEDICAL CORPORATION
Active
Organization
HEALDSBURG PRIMARY CARE, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOCKE L WILSON MD (PRESIDENT)
(707) 433-3383
Entity
Organization
Contact information
Practice address
1312 PRENTICE DRIVE, HEALDSBURG, CA 95448
(707) 433-3383
(707) 433-7210
Mailing address
1312 PRENTICE DRIVE, HEALDSBURG, CA 95448
(707) 433-3383
(707) 433-7210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A40925
CA
Other
Enumeration date
01/29/2007
Last updated
10/20/2008
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