Organization
GRASS VALLEY CARDIOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY L BENTON (BUSINESS MANAGER)
(530) 477-7265
Entity
Organization
Contact information
Practice address
150 CATHERINE LANE D, GRASS VALLEY, CA 95945
(530) 477-8358
(530) 477-2015
Mailing address
150 CATHERINE LN, SUITE D, GRASS VALLEY, CA 95945-5719
(530) 477-8358
(530) 477-2015
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/05/2009
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