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Organization

CORNING MEDICAL ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE MASSIE LCSW (OFFICE MANAGER)
(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
1041C0700X
Clinical Social Worker
LCS21280
CA
207Q00000X
Family Medicine Physician
20A8205
CA
207Q00000X
Family Medicine Physician
Primary
A21329
CA
207R00000X
Internal Medicine Physician
A83711
CA
363AM0700X
Medical Physician Assistant
PA10063
CA
363AM0700X
Medical Physician Assistant
PA10631
CA
363AM0700X
Medical Physician Assistant
PA12458
CA
363AM0700X
Medical Physician Assistant
PA12619
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0026340
CA
Enumeration date
11/07/2006
Last updated
08/24/2010
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