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Mccloud Dba Urology Clinic
Specialist in Mount Shasta, California
NPI 1164680823

Mccloud Dba Urology Clinic is a Specialist based in Mount Shasta, CA. Mccloud Dba Urology Clinic practices in Mount Shasta, CA. The NPI Number for Mccloud Dba Urology Clinic is 1164680823 and holds a License No. A21996 (California).

The current practice location address for Mccloud Dba Urology Clinic is 830 Pine St, Mount Shasta, CA and can be reached out via phone at 530-926-3891.

Location: 830 Pine St, Mount Shasta, CA, 96067-2137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164680823
Provider Name
Mccloud Dba Urology Clinic
Credential
Provider Entity Type
Organization
Address
830 Pine St, Mount Shasta, CA, 96067-2137
Phone Number
530-926-3891
Fax Number
Provider Enumeration Date
05/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
830 Pine St
City
Mount Shasta
State
California
Zip
96067-2137
Phone Number
530-926-3891
Fax Number
person
Provider Business Mailing Address Details
Address
830 Pine St
City
Mount Shasta
State
California
Zip
96067-2137
Phone Number
530-926-3891
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A21996 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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