Organization
CENTER FOR FUNCTIONAL & INTEGRATIVE MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ERIC HOLTHOUSE M.D. (CEO)
(530) 306-2997
Entity
Organization
Contact information
Practice address
3104 PONTE MORINO DR, SUITE 110, CAMERON PARK, CA 95682-8277
(530) 626-8300
(530) 626-7617
Mailing address
3104 PONTE MORINO DR, SUITE 110, CAMERON PARK, CA 95682-8277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/21/2008
Last updated
11/25/2008
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