P. HAINES ELY M.D. INC. NPI 1730304213

NPI Information

P. HAINES ELY, M.D. INC. is a specialist in Grass Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. P. HAINES ELY, M.D. INC. NPI is 1730304213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

565 BRUNSWICK ROAD
SUITE 7
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 477-7546
Fax: (530) 477-0712

The provider's authorized official is Parry Haines Ely .
The authorized official title is President Owner and has the following contact phone number (530) 477-7546.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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