Organization
SOLONIUK CLINIC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE WORKMAN JR. M.D. (PRESIDENT)
(530) 247-3733
Entity
Organization
Contact information
Practice address
2111 AIRPARK DR, REDDING, CA 96001-2433
(530) 247-3733
(530) 246-0644
Mailing address
2111 AIRPARK DR, REDDING, CA 96001-2433
(530) 247-3733
(530) 246-6906
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G48518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C3267823
CORPORATE NUMBER
CA
Enumeration date
06/03/2010
Last updated
07/12/2022
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