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Organization
MARSHALL MEDICAL CENTER
Active
Organization
MARSHALL MEDICAL CENTER
Active
Other names
Marshall Family Medicine El Dorado Hills
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE ELDRIDGE (CFO)
(530) 626-2770
Entity
Organization
Contact information
Practice address
5137 GOLDEN FOOTHILL PKWY, SUITE 120, EL DORADO HILLS, CA 95762-9670
(916) 399-8010
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-2787
(530) 626-2839
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
RAILROAD MEDICARE
CA
Enumeration date
01/22/2007
Last updated
09/08/2020
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