Individual
JACK CLIFFORD NICHOLS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 EAST ST, SUITE A, REDDING, CA 96001-0821
(530) 246-2430
(530) 246-1907
Mailing address
PO BOX 848914, BOSTON, MA 02284-8914
(530) 246-2430
(530) 246-1907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G35731
CA
Other
Enumeration date
06/06/2006
Last updated
03/28/2008
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