Individual
DR. JEFFREY G MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 GREEN VALLEY RD, FREEDOM, CA 95019-3137
(831) 724-1811
(831) 724-1866
Mailing address
598 BROWNS VALLEY RD, WATSONVILLE, CA 95076-0334
(831) 724-1811
(831) 724-1866
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G32527
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G325270
—
CA
Enumeration date
08/18/2005
Last updated
01/10/2013
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