SIERRA NEVADA PRIMARY CARE
Medical Practice at Litton Dr, Grass Valley, CA

License number
California 20A79401
Category
Osteopathic Medicine
Type
Family Medicine
License number
California G13927
Category
Osteopathic Medicine
Type
Family Medicine
License number
California G55765
Category
Osteopathic Medicine
Type
Family Medicine
License number
California 20A7977
Category
Osteopathic Medicine
Type
Family Medicine
License number
California G34453
Category
Medical Practice
Type
Pediatrics
License number
California A26753
Category
Medical Practice
Type
Pediatrics
License number
California G35403
Category
Medical Practice
Type
Pediatrics
License number
California G23768
Category
Medical Practice
Type
Pediatrics
License number
California A71856
Category
Medical Practice
Type
Pediatrics
License number
California G61414
Category
Medical Practice
Type
Pediatrics
Owner
Name: MR. DOUGLAS E WAGNER M.D.
Title: PRESIDENT, BOARD OF DIRECTORS
Phone: (530) 272-9791
Address
Address
140 Litton Dr STE 110, Grass Valley, CA 95945
National Provider ID: 1699719419
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SIERRA NEVADA PRIMARY CARE at bizstanding.com

SIERRA NEVADA PRIMARY CARE PHYSICIANS, A MEDICAL CORPORATION

140 Litton Dr STE 100, Grass Valley, CA 95945

Registration:
Feb 4, 1994
State ID:
C1870435
Agent:
Douglas E Wagner,Grass Valley, CA 95945 (Physical)

Sierra Nevada Primary Care Physicians Group

140 Litton Dr, Grass Valley, CA 95945

Industry:
Pediatrician, Family Doctor

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