| Ross W Tye | |
|
1361 Cortina Dr Orland CA 95963-2402 | |
| (530) 865-3400 | |
| (530) 865-3386 |
| Full Name | Ross W Tye |
|---|---|
| Speciality | Family Medicine |
| Location | 1361 Cortina Dr, Orland, California |
| Authorized Official Name and Position | Ross W Tye (OWNER) |
| Authorized Official Contact | 5308653400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross W Tye Po Box 1102 Orland CA 95963-4102 Ph: (530) 865-3400 | Ross W Tye 1361 Cortina Dr Orland CA 95963-2402 Ph: (530) 865-3400 |
| NPI Number | 1629303383 |
|---|---|
| Provider Enumeration Date | 10/13/2009 |
| Last Update Date | 01/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629303383 | NPI | - | NPPES |
| RHM553840F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A37428 (California) | Primary |
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