Organization
NREC PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN HAUGEN (MEDICAL DIRECTOR)
(608) 358-6901
Entity
Organization
Contact information
Practice address
508 MAIN ST STE A, RED BLUFF, CA 96080-3447
(530) 529-1750
(530) 529-4551
Mailing address
530 MAIN ST, RED BLUFF, CA 96080-3438
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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