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Contact Information

FREMONT RIDEOUT MEDICAL GROUP INC
726 FOURTH STREET
MARYSVILLE, CA95901
 Phone: 530-749-4300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for FREMONT RIDEOUT MEDICAL GROUP INC · (Female)

NPI Number 1043263551
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2006
Last updated 12/07/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0092251
  • CA Other ZZZ048062 BLUE SHIELD OF CA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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