Premier Healthcare of Placerville
Premier Healthcare of Placerville is a Pain Medicine Physician in Placerville, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
- Specialties on file
- 2
Practice location Address checks out
1980 BroadwayPlacerville, CA 95667-9001
Phone: (530) 622-3536
Fax: (530) 622-3538
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine Physician (primary) | Taxonomy 208VP0000X · Licence A55172 (CA) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X · Licence A55172 (CA) |
Record details
| NPI number | 1932345410 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Mooney — Owner · (530) 622-3536 |
| Other names | Premier Healthcare |
| NPI enumerated | January 5, 2009 |
| Last updated in NPPES | April 28, 2014 |
| Mailing address | 1980 Broadway, Placerville, CA 95667-9001 |