Organization
SIERRA NEVADA PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CUNHA MD (OWNER)
(530) 271-3232
Entity
Organization
Contact information
Practice address
155 GLASSON WAY, GRASS VALLEY, CA 95945
(530) 274-6000
(530) 274-6054
Mailing address
BOX 805, NEVADA CITY, CA 95959
(530) 271-3232
(530) 271-3239
Taxonomy
Speciality
Code
Description
License number
State
246R00000X
Pathology Technician
Primary
G30573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G305730
—
CA
Enumeration date
02/13/2007
Last updated
11/18/2008
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