Organization
THE ORTHOPEDIC WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY VAN PELT M.D. (OVERSEER)
(707) 463-1782
Entity
Organization
Contact information
Practice address
311 LUCE AVE, UKIAH, CA 95482-5667
(707) 463-1782
Mailing address
311 LUCE AVE, UKIAH, CA 95482-5667
(707) 463-1782
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G065907
CA
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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