Organization
MARSHALL MEDICAL CENTER
Active
Other names
Marshall Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
SIRI NELSON (CEO)
(530) 622-1441
Entity
Organization
Contact information
Practice address
1004 FOWLER WAY, SUITE 4, PLACERVILLE, CA 95667-5746
(530) 626-9488
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 626-9488
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RG0100X
Gastroenterology Physician
030000059
CA
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
CA
207UN0901X
Nuclear Cardiology Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
CA
Other
Enumeration date
11/12/2008
Last updated
04/02/2024
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