Organization
JEFFERSON NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAKIR M ALI MD (OWNER)
(541) 482-5515
Entity
Organization
Contact information
Practice address
822 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-1039
Mailing address
PO BOX 1470, PHOENIX, OR 97535-1470
(541) 512-0511
(541) 512-1689
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A88303
CA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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