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Organization
PREMIER HEALTHCARE OF PLACERVILLE
Active
Organization
PREMIER HEALTHCARE OF PLACERVILLE
Active
Other names
Premier Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOONEY D.C. (OWNER)
(530) 622-3536
Entity
Organization
Contact information
Practice address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Mailing address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A55172
CA
332B00000X
Durable Medical Equipment & Medical Supplies
A55172
CA
Other
Enumeration date
01/05/2009
Last updated
04/28/2014
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