Organization · Type 2 NPI
Clear Creek Medical Corp
Addiction Medicine (Family Medicine) Physician · Redding, CA
NPI number
1629583018
Active
Practice location
1100 Butte St
Redding, CA 96001-0852
Mailing address
738 Sunriver Ln
Redding, CA 96001-0166
Other practice locations
- 2801 Eureka Way, Redding, CA 96001-0222 · (530) 246-9000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | A86727 (CA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1629583018
Clear Creek Medical Corp's National Provider Identifier is 1629583018, issued on Dec 6, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Redding, CA. The record was last updated on Mar 17, 2018.