Individual
DR. CHERYL HILTY ORR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2170 SOUTH AVE, BARTON MEMORIAL HOSPITAL- SURGERY, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5880
Mailing address
1967 KICKAPOO ST, SOUTH LAKE TAHOE, CA 96150-5381
(530) 573-1594
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A77242
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A722420
BLUE SHIELD
CA
05
—
00A722420
—
CA
Enumeration date
07/20/2006
Last updated
02/14/2010
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