Organization
NATHAN RHEAULT DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN RHEAULT DO (PHYSICIAN OWNER)
(831) 419-6446
Entity
Organization
Contact information
Practice address
740 FRONT ST STE 345B, SANTA CRUZ, CA 95060-4561
(831) 419-6446
(949) 561-5836
Mailing address
740 FRONT ST STE 345B, SANTA CRUZ, CA 95060-4561
(831) 419-6446
(949) 561-5836
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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