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Organization

HUMBOLDT NEUROLOGICAL MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KURT MARVIN OSBORN MD (VICE PRESIDENT)
(707) 443-9385
Entity
Organization

Contact information

Practice address
2828 ONEIL LANE, EUREKA, CA 95503-4870
(707) 443-9385
(707) 443-0258
Mailing address
2828 ONEIL LANE, EUREKA, CA 95503-4870
(707) 443-9385
(707) 443-0258

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CP2087
RAILROAD MEDICARE
CA
05
ZZZ76652Z
CA
Enumeration date
10/16/2006
Last updated
02/23/2010
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