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Organization

EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. M. KELLY SHANAHAN MD (PHYSICIAN/OWNER)
(530) 542-4961
Entity
Organization

Contact information

Practice address
1154 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6288
(530) 542-4961
(530) 542-4964
Mailing address
1154 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6288
(530) 542-4961
(530) 542-4964

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
08/22/2008
Last updated
07/30/2013
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