Organization
PREMIER HEALTHCARE OF PLACERVILLE
Active
Other names
Premier Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MOONEY D.C. (OWNER)
(530) 622-3536
Entity
Organization
Contact information
Practice address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Mailing address
1980 BROADWAY, PLACERVILLE, CA 95667-9001
(530) 622-3536
(530) 622-3538
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A55172
CA
332B00000X
Durable Medical Equipment & Medical Supplies
A55172
CA
Other
Enumeration date
01/05/2009
Last updated
04/28/2014
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