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P. Haines Ely, M.d. Inc.
Specialist in Grass Valley, California
NPI 1730304213

P. Haines Ely, M.d. Inc. is a Specialist based in Grass Valley, CA. P. Haines Ely, M.d. Inc. practices in Grass Valley, CA. The NPI Number for P. Haines Ely, M.d. Inc. is 1730304213 and holds a License No. G22469 (California).

The current practice location address for P. Haines Ely, M.d. Inc. is 565 Brunswick Road, Grass Valley, CA and can be reached out via phone at 530-477-7546 and via fax at 530-477-0712. You can also correspond with P. Haines Ely, M.d. Inc. through the mailing address at 565 BRUNSWICK ROAD, GRASS VALLEY, CA - 95945 (mailing address contact number: 530-477-7546).

Location: 565 Brunswick Road, Grass Valley, CA, 95945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730304213
Provider Name
P. Haines Ely, M.d. Inc.
Credential
Provider Entity Type
Organization
Address
565 Brunswick Road, Grass Valley, CA, 95945
Phone Number
530-477-7546
Fax Number
530-477-0712
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396706370 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
565 Brunswick Road
City
Grass Valley
State
California
Zip
95945
Phone Number
530-477-7546
Fax Number
530-477-0712
person
Provider Business Mailing Address Details
Address
565 Brunswick Road
City
Grass Valley
State
California
Zip
95945
Phone Number
530-477-7546
Fax Number
530-477-0712
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G22469 (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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