Organization
NORTH VALLEY ORTHOPAEDIC MEDICAL GROUP, INC
Active
Other names
Jack C Nichols II
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK C NICHOLS II M.D. (PRESIDENT OF CORPORATION)
(530) 246-2430
Entity
Organization
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 08824-8914
(530) 246-2430
(530) 246-1907
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G35731
CA
Other
Enumeration date
08/18/2007
Last updated
05/06/2008
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