Organization
TERRY WERNER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY SCOTT WERNER M.D. (CEO/PRESIDENT/OWNER)
(530) 273-4550
Entity
Organization
Contact information
Practice address
150 GLASSON WAY, SUITE B, GRASS VALLEY, CA 95945-5706
(530) 273-4550
(530) 273-1076
Mailing address
PO BOX 4688, AUBURN, CA 95604-4688
(530) 273-4550
(530) 273-1076
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A67230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A672300
—
CA
01
—
1578545208
INDIVIDUAL NPI NUMBER
—
Enumeration date
07/27/2006
Last updated
08/22/2020
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