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Mountain Lake Medical Grp Pc

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NPI Number Detailed Information

Provider Information:

Name: Mountain Lake Medical Grp Pc
Gender:
Provider License Number If Given: G32582

NPI Information:

NPI: 1588973788
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 10/5/2010

Last Update Date: 2/16/2012

Provider Business Mailing Address:

Address: 6156 PONY EXPRESS TRL
Pollock Pines, CA 95726
Phone Number: 5306446044
Fax Number: 5306440125

Provider Business Practice Location Address:

Address: 6156 PONY EXPRESS TRL
Pollock Pines, CA 95726
Phone Number: 5306446044
Fax Number: 5306440125

Provider Taxonomy:

Primary: 261QP2300X
Secondary (if any):
State: CA

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About Mountain Lake Medical Grp Pc

Mountain Lake Medical Grp Pc ( MOUNTAIN LAKE MEDICAL GRP PC ) is Definition Clinic/Center Provider in Pollock Pines, CA. The NPI Number for Mountain Lake Medical Grp Pc is 1588973788.
The current location address for Mountain Lake Medical Grp Pc is 6156 PONY EXPRESS TRL Pollock Pines, CA 95726 and the contact number is 5306446044 and fax number is 5306440125. The mailing address for Mountain Lake Medical Grp Pc is 6156 PONY EXPRESS TRL Pollock Pines, CA 95726- 5306446044 (mailing address contact number - 5306446044).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Mountain Lake Medical Grp Pc ?


Answer: The NPI Number for Mountain Lake Medical Grp Pc is 1588973788

Where is Mountain Lake Medical Grp Pc located?


Answer: Mountain Lake Medical Grp Pc is located at 6156 PONY EXPRESS TRL Pollock Pines, CA 95726.

What is the specialty for Mountain Lake Medical Grp Pc ?


Answer: The Specialty of Mountain Lake Medical Grp Pc is Definition Clinic/Center Provider.

Are there any online reviews for Mountain Lake Medical Grp Pc ?


Answer: Not yet!

Are there any other health care providers in Pollock Pines, CA?


Answer: Yes, there are given below...

More Providers in Pollock Pines , CA

Dr. William Michael Culver
Primary Care Clinic/Center
NPI Number: 1396791992
Address: 6156 PONY EXPRESS TRL Pollock Pines, CA 95726 , Phone: 5306446044
Longs Drug Stores California Llc
Community/Retail Pharmacy
NPI Number: 1932141769
Address: 6450 PONY EXPRESS TRL Pollock Pines, CA 95726 , Phone: 5306478013
Safeway Inc
Durable Medical Equipment & Medical Supplies
NPI Number: 1235168279
Address: 6498 PONY EXPRESS TRL Pollock Pines, CA 95726 , Phone: 5306477449
Michael D Aveni
Chiropractor
NPI Number: 1952406878
Address: 6023 PONY EXPRESS TR Pollock Pines, CA 95726 , Phone: 5306443051
Dr. Joseph Cree Taylor
Specialist
NPI Number: 1932295714
Address: 3942 PEARL ROAD Pollock Pines, CA 95726 , Phone: 5306444069
Pollock Pines Elementary
Local Education Agency (LEA)
NPI Number: 1447317128
Address: 6181 PINE ST # A Pollock Pines, CA 95726 , Phone: 5306445417
Mr. Robert John Stadelhofer
Specialist
NPI Number: 1699899708
Address: 5494 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306443758
Ms. Theresa Joanne Russell
Specialist
NPI Number: 1255465530
Address: 5494 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306643758
Jay H Miser
Medical Physician Assistant
NPI Number: 1053439372
Address: 6156 PONY EXPRESS TRL Pollock Pines, CA 95726 , Phone: 5306446044
Mrs. Corinne Roberta Bunch
Registered Nurse
NPI Number: 1760698690
Address: 6837 RIDGEWAY DR Pollock Pines, CA 95726 , Phone: 5306472647
Dr. James Louis Dawson
General Practice Dentistry
NPI Number: 1932395670
Address: 6387 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306441554
Mrs. Susan Collett Nelson
Clinical Social Worker
NPI Number: 1023298767
Address: 6180 EL CAMINO DR Pollock Pines, CA 95726 , Phone: 5306476242
Progress House Inc.
Substance Abuse Rehabilitation Facility
NPI Number: 1417112228
Address: 5494 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306443758
Alexa Claire Fila
Addiction (Substance Use Disorder) Counselor
NPI Number: 1770748808
Address: 5494 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306443758
James L. Dawson Dds Inc.
Dentist
NPI Number: 1881843787
Address: 6387 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306441554
Positive Behavioral Services, Llc
Behavioral Analyst
NPI Number: 1902058084
Address: 3393 SLY PARK RD Pollock Pines, CA 95726 , Phone: 5306444640
Shannon Denise Reilly
Substance Abuse Rehabilitation Facility
NPI Number: 1891937306
Address: 5494 PONY EXPRESS TRAIL Pollock Pines, CA 95726 , Phone: 5306443758
Mountain Lake Medical Grp Pc
Primary Care Clinic/Center
NPI Number: 1588973788
Address: 6156 PONY EXPRESS TRL Pollock Pines, CA 95726 , Phone: 5306446044

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