Organization
ADVENTIST HEALTH PHYSICIAN NETWORK
Active
Parent organization
ADVENTIST HEALTH PHYSICIAN NETWORK
Other names
St. Helena Family Practice Clearlake
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH PHYSICIAN NETWORK
Authorized official
JEFF CONKLIN (PRESIDENT)
(916) 789-4209
Entity
Organization
Contact information
Practice address
15322 LAKESHORE DR, SUITE 202, CLEARLAKE, CA 95422-9814
(707) 994-0305
Mailing address
1001 ADAMS ST, SAINT HELENA, CA 94574-1107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2011
Last updated
06/08/2011
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