Organization
SISKIYOU PROFESSIONAL MEDICAL SERVICE, PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARVID R. MAGNUSON M.D. (PRESIDENT)
(530) 842-2800
Entity
Organization
Contact information
Practice address
6736 QUAIL RUN ROAD, YREKA, CA 96097-3540
(530) 842-2800
Mailing address
P.O. BOX 1667, YREKA, CA 96097-3450
(530) 842-2800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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