Organization
COTTONWOOD MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZ ANDREWS (ADMINISTRATOR)
(530) 347-4867
Entity
Organization
Contact information
Practice address
20633 GAS POINT RD, COTTONWOOD, CA 96022-9296
(530) 347-4867
(530) 347-5670
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 347-4867
(530) 347-5670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53924F
—
CA
Enumeration date
08/17/2005
Last updated
02/24/2012
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