Organization
SEELY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI A BOSTER M.D. (CHIEF FINANCIAL OFFICER)
(530) 515-1699
Entity
Organization
Contact information
Practice address
2175 ROSALINE AVE, MEDICAL STAFF OFFICE, REDDING, CA 96049-6009
(530) 515-1699
Mailing address
PO BOX 1280, PALO CEDRO, CA 96073-1280
(530) 515-1699
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G83413
CA
Other
Enumeration date
06/30/2006
Last updated
11/13/2007
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