Organization
JEFFREY G. MACE, M.D., PROFESSIONAL CORPORATION
Active
Organization
JEFFREY G. MACE, M.D., PROFESSIONAL CORPORATION
Active
Other names
Jeffrey G. Mace, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GENE MACE M.D. (PRESIDENT)
(831) 724-1811
Entity
Organization
Contact information
Practice address
242 GREEN VALLEY RD, FREEDOM, CA 95019-3137
(831) 724-1811
(831) 724-1866
Mailing address
598 BROWNS VALLEY RD, WATSONVILLE, CA 95076-0334
(831) 724-1811
(831) 724-1866
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G32527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G325270
—
CA
01
—
ZZZ22894Z
PTAN
CA
Enumeration date
03/07/2007
Last updated
01/31/2015
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