NPI 1003109570

Calaveras Emergency Physicians,

Organisation Emergency Medicine Physician San Andreas, CA

Practice location

Address: 768 Mountain Ranch Rd, San Andreas, CA 95249-9707
Phone: (209) 754-3251
Mailing address: 13737 Noel Rd STE 1600, Dallas, TX 75240-1331

Authorised official

Name: Charles T Mitchell
Title: President
Phone: (469) 401-2386

Registered specialties (3)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in California →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in California →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in California →

Registry record

NPI: 1003109570
Entity type: Organization
NPI issued: 17 May 2011
Record last updated: 10 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.