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Organization

AMETHYST MEDICAL GROUP, INC.

Active
Other names
Amethyst Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WINIFRED MYRNA LOESCH MD (PRESIDENT)
(530) 798-5003
Entity
Organization

Contact information

Practice address
590 SEARLS AVE, SUITE A, NEVADA CITY, CA 95959-3043
(530) 798-5003
(530) 271-2338
Mailing address
590 SEARLS AVE, SUITE A, NEVADA CITY, CA 95959-3043
(530) 798-5003
(530) 271-2338

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42292
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00C422920
PPIN
CA
Enumeration date
08/31/2006
Last updated
08/19/2010
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