Organization
MARSHALL MEDICAL CENTER
Active
Other names
Marshall OB/GYN
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIRI NELSON (CEO)
(530) 626-2601
Entity
Organization
Contact information
Practice address
699 MAIN ST, SUITE C, PLACERVILLE, CA 95667-5720
(530) 626-2166
Mailing address
P.O. BOX 45680, SAN FRANCISCO, CA 94145
(530) 626-2155
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT1847
RAILROAD MEDICARE
CA
Enumeration date
09/13/2006
Last updated
09/08/2020
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