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Organization
STONY GORGE MEDICAL SERVICES A MEDICAL CORPORATION
Active
Organization
STONY GORGE MEDICAL SERVICES A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MITCHELL MD (PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
1133 W SYCAMORE ST, WILLOWS, CA 95988-2601
(469) 401-2386
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
03/30/2016
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