Organization
INNOVATIVE TREATMENT ASSOCIATES INC
Active
Organization
INNOVATIVE TREATMENT ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN RULISON MD (PRESIDENT)
(530) 391-9196
Entity
Organization
Contact information
Practice address
3581 PALMER DR STE 601, CAMERON PARK, CA 95682-8238
(530) 391-9196
Mailing address
3031 CINSANT DR UNIT 2, CAMERON PARK, CA 95682-7004
(530) 391-9196
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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