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Organization
MIDTOWN PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC.
Active
Organization
MIDTOWN PRIMARY CARE ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J MCDONALD (PRACTICE ADMINISTRATOR)
(916) 290-8672
Entity
Organization
Contact information
Practice address
970 RESERVE DR, SUITE 149, ROSEVILLE, CA 95678-1376
(916) 290-8672
Mailing address
970 RESERVE DR, SUITE 149, ROSEVILLE, CA 95678-1376
(916) 290-8672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G42424
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G42424240
—
CA
Enumeration date
01/23/2007
Last updated
10/24/2013
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