Individual
DR. MARCELLA RUTH MCLARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2485 NOTRE DAME BLVD, SUITE 370-16, CHICO, CA 95928
(530) 809-2154
(530) 965-5598
Mailing address
PO BOX 1045, CHICO, CA 95927-1045
(530) 809-2154
(530) 965-5508
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G69923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G699230
—
CA
01
—
61148980
WA STATE MEDICAL LICENSE
WA
01
—
G69923
CA MEDICAL LICENSE
CA
01
—
P00135617
MEDICARE RAILROAD #
—
Enumeration date
06/16/2005
Last updated
03/07/2023
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