Organization
REDDING CARDIAC & VASCULAR SURGERY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD WILLIAM POTTMEYER M.D. (PRESIDENT)
(530) 243-2626
Entity
Organization
Contact information
Practice address
2240 COURT ST, REDDING, CA 96001-2528
(530) 243-2626
(530) 243-2799
Mailing address
2240 COURT ST, REDDING, CA 96001-2528
(530) 243-2626
(530) 243-2799
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
00G515970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G515970
—
CA
Enumeration date
01/10/2006
Last updated
08/22/2020
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