Organization
AIRELL L NYGAARD MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIRELL L NYGAARD MD (PRESIDENT & SOLE OWNER)
(209) 588-1800
Entity
Organization
Contact information
Practice address
680 GUZZI LN, SUITE 102, SONORA, CA 95370-5288
(209) 588-1800
(209) 588-1700
Mailing address
680 GUZZI LN, SUITE 102, SONORA, CA 95370-5288
(209) 588-1800
(209) 588-1700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C374790
—
CA
Enumeration date
09/19/2007
Last updated
05/20/2009
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