Organization
ADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
Active
Other names
St. Helena Ear, Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
KAYE A DONNELLY (CREDENTIALING COORDINATOR)
(707) 968-2809
Entity
Organization
Contact information
Practice address
1485 MAIN ST, SUITE 101, SAINT HELENA, CA 94574-1850
(707) 963-8860
(707) 963-8861
Mailing address
1572 RAILROAD AVE, SUITE 2, SAINT HELENA, CA 94574-1169
(707) 968-2809
(707) 963-9185
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G17012
CA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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