McCloud Dba Urology Clinic
McCloud Dba Urology Clinic is a Specialist in Mount Shasta, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
830 Pine StMount Shasta, CA 96067-2137
Phone: (530) 926-3891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A21996 (CA) |
|---|
Record details
| NPI number | 1164680823 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | McCloud Health Center |
| Authorized official | Robin Veltkamp — Enrollment · (231) 924-0244 |
| NPI enumerated | May 29, 2008 |
| Last updated in NPPES | May 29, 2008 |
| Mailing address | 830 Pine St, Mount Shasta, CA 96067-2137 |
Other providers in Mount Shasta
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Cancer Care Consultants of Northern California a Medical Group
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Glen S O'Sullivan, MD
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-
Shanhong Lu
830 Pine St, Mount Shasta, CA 96067-2137 · (530) 926-1000