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NPI Profile for GRASS VALLEY CARDIOLOGY MEDICAL GROUP in GRASS VALLEY, CA.
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine |
| NPI Number | 1023062171 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/22/2006 | |
| Last updated | 08/05/2009 - About 17 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GRASS VALLEY CARDIOLOGY MEDICAL GROUP
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GRASS VALLEY CARDIOLOGY MEDICAL GROUP