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Organization
MARSHALL MEDICAL CENTER
Active
Organization
MARSHALL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIRI NELSON (CEO)
(530) 626-2601
Entity
Organization
Contact information
Practice address
3581 PALMER DRIVE, SUITE 602, CAMERON PARK, CA 95682
(530) 626-2920
Mailing address
P.O. BOX 45680, SAN FRANCISCO, CA 94145
(530) 626-2920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
207R00000X
Internal Medicine Physician
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT1847
RAIL ROAD MEDICARE
CA
05
—
ZZZ00439Z
—
CA
Enumeration date
09/11/2006
Last updated
09/08/2020
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