Organization · Type 2 NPI
Jefferson Neurology, LLC
Neurology Physician · Mount Shasta, CA
NPI number
1114239720
Active
Practice location
822 Pine St
Mount Shasta, CA 96067-2137
Mailing address
PO Box 1470
Phoenix, OR 97535-1470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | A88303 (CA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4 other providers at this address
- McCloud Healthcare Clinic, Inc.Federally Qualified Health Center (FQHC) Mount Shasta, CA NPI 1386503779
- Michael Staszel D.o. P.aPrimary Care Clinic/Center Mount Shasta, CA NPI 1396209086
- Michael Zbiniew Staszel, DOGeneral Practice Physician Mount Shasta, CA NPI 1417917766
- Richard Cyrus Eastman, MDEndocrinology, Diabetes & Metabolism Physician Mount Shasta, CA NPI 1114164407
About NPI 1114239720
Jefferson Neurology, LLC's National Provider Identifier is 1114239720, issued on Jul 12, 2010. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Mount Shasta, CA. The record was last updated on Jul 12, 2010.