Organization
C. GREGORY JELLINEK, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES GREGORY JELLINEK M.D. (PRESIDENT)
(530) 587-8600
Entity
Organization
Contact information
Practice address
11209 BROCKWAY RD, SUIT 201, TRUCKEE, CA 96161-2221
(530) 587-8600
(530) 587-8606
Mailing address
11209 BROCKWAY RD, SUIT 201, TRUCKEE, CA 96161-2221
(530) 587-8600
(530) 587-8606
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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