Organization
MOUNTAIN MEADOWS MEDICAL GROUP OF CALIFORNIA, INC.
Active
Other names
Tahoe Women's Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRIS F KOBALTER MD (VICE PRESIDENT)
(530) 543-5710
Entity
Organization
Contact information
Practice address
973 MICA DR STE 200, CARSON CITY, NV 89705-7258
(775) 267-6700
(775) 267-6609
Mailing address
1067 4TH ST, SOUTH LAKE TAHOE, CA 96150-3459
(530) 543-5710
(530) 542-1455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NV
Other
Enumeration date
11/16/2007
Last updated
09/19/2012
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