Organization
SIERRA SPECIALTY CALL GROUP MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC R FREEDMAN M.D. (PRESIDENT)
(209) 532-5244
Entity
Organization
Contact information
Practice address
680 GUZZI LN, SUITE 203, SONORA, CA 95370-5288
(209) 532-5244
(209) 532-5247
Mailing address
680 GUZZI LN, SUITE 203, SONORA, CA 95370-5288
(209) 532-5244
(209) 532-5247
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20A10879
CA
207X00000X
Orthopaedic Surgery Physician
A45369
CA
207X00000X
Orthopaedic Surgery Physician
A88661
CA
207X00000X
Orthopaedic Surgery Physician
C37479
CA
208600000X
Surgery Physician
A50509
CA
208600000X
Surgery Physician
A53424
CA
208800000X
Urology Physician
A45369
CA
208800000X
Urology Physician
Primary
—
—
363A00000X
Physician Assistant
12677
CA
Other
Enumeration date
07/15/2011
Last updated
06/14/2012
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