Organization
CORNING MEDICAL ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DON CARL MASSIE PA-C (ADMINISTRATOR)
(530) 824-4663
Entity
Organization
Contact information
Practice address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
(530) 824-5204
Mailing address
155 SOLANO ST, CORNING, CA 96021-3511
(530) 824-4663
(530) 824-5204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP03910G
—
CA
Enumeration date
04/10/2007
Last updated
08/22/2020
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