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NPI Profile for KARUK TRIBE in HAPPY CAMP, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
General Practice |
1223G0001X |
| NPI # | 1952483406 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/20/2006 | |
| Last updated | 01/30/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KARUK TRIBE
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KARUK TRIBE