Organization
BOUCHIER-PRITCHETT FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE CAMMON (BILLING MANAGER)
(530) 273-8452
Entity
Organization
Contact information
Practice address
280 SIERRA COLLEGE DR STE 207, GRASS VALLEY, CA 95945-5763
(530) 477-7390
Mailing address
280 SIERRA COLLEGE DR STE 205, GRASS VALLEY, CA 95945-5763
(530) 477-7390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A106592
CA
207Q00000X
Family Medicine Physician
Primary
A80293
CA
363LA2200X
Adult Health Nurse Practitioner
NPF20585
CA
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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