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Organization
WESTERN SIERRA EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization
WESTERN SIERRA EMERGENCY PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(855) 687-0618
Entity
Organization
Contact information
Practice address
29100 HOSPITAL ROAD, LAKE ARROWHEAD, CA 92352-9706
(855) 687-0618
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(855) 687-0618
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881995272
—
CA
Enumeration date
11/16/2010
Last updated
04/06/2022
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