William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp
William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is a Rural Health Clinic/Center in Fort Bragg, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
510 Cypress St Ste DFort Bragg, CA 95437-5411
Phone: (707) 964-5696
Fax: (707) 964-6274
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Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence 553843 (CA) |
|---|
Record details
| NPI number | 1346410230 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | William Mahon — Partner/Administrator · (707) 964-5696 |
| NPI enumerated | March 6, 2008 |
| Last updated in NPPES | June 16, 2008 |
| Mailing address | 510 Cypress St Ste D, Fort Bragg, CA 95437-5411 |
Other providers in Fort Bragg
-
Adventist Health Mendocino Coast
721 River Dr Ste A, Fort Bragg, CA 95437 · (707) 961-4631
-
Ukiah Adventist Hospital
850 Sequoia Cir, Fort Bragg, CA 95437-5490 · (707) 964-0259