institution
William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp
Rural Health Clinic/Center in Fort Bragg, California
NPI 1346410230

William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is a Rural Health Clinic/Center based in Fort Bragg, CA and is specialized in Rural Health. William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp practices in Fort Bragg, CA. The NPI Number for William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is 1346410230 and holds a License No. 553843 (California).

The current practice location address for William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp is 510 Cypress St Ste D, Fort Bragg, CA and can be reached out via phone at 707-964-5696 and via fax at 707-964-6274.

Location: 510 Cypress St Ste D, Fort Bragg, CA, 95437-5411
institution
Provider Profile Details
NPI Number
1346410230
Provider Name
William M Mahon & Jeffrey M Kraut Mendocino Coast Pediatric Mdcl Grp
Credential
Provider Entity Type
Organization
Address
510 Cypress St Ste D, Fort Bragg, CA, 95437-5411
Phone Number
707-964-5696
Fax Number
707-964-6274
Provider Enumeration Date
03/06/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
RHM53843F 05 CA
institution
Provider Business Practice Location Address Details
Address
510 Cypress St Ste D
City
State
Zip
95437-5411
Phone Number
707-964-5696
Fax Number
707-964-6274
person
Provider Business Mailing Address Details
Address
510 Cypress St Ste D
City
State
Zip
95437-5411
Phone Number
707-964-5696
Fax Number
707-964-6274
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
553843 (California)
Definition
Definition to come...
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