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Organization

VISTA COMPLETE CARE, INC.

Active
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Organization

VISTA COMPLETE CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL STEPHEN SEWELL M.D. (OWNER)
(530) 885-3951
Entity
Organization

Contact information

Practice address
13555 BOWMAN RD STE 100, AUBURN, CA 95603-3197
(530) 885-3951
(530) 885-3932
Mailing address
13555 BOWMAN RD STE 100, AUBURN, CA 95603-3197
(530) 885-3951
(530) 885-3932

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87909
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609979723
NPI
—
01
—
BE326
PTAN
—
Enumeration date
07/14/2010
Last updated
07/14/2010
About Stedi
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