Organization
LAKE SILVERADO CARDIOVASCULAR CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN BRADRICK (MEDICAL BILLER)
(707) 995-7077
Entity
Organization
Contact information
Practice address
6 WOODLAND RD, STE 307, SAINT HELENA, CA 94574-9501
(707) 995-7077
(707) 995-0904
Mailing address
PO BOX 6017, CLEARLAKE, CA 95422-6017
(707) 995-7077
(707) 995-0904
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A45408
CA
Other
Enumeration date
01/29/2007
Last updated
05/19/2008
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