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NPI Code Detail

MEDICARE: RITA B QUADE MD

MEDICARE: RITA B QUADE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG52664CA

General Provider Information

NPI Number : 1306875125
Entity Type Code : Individual
Provider Name (Legal Business Name) : RITA B QUADE MD
Provider Business Mailing Address
First Line : 175 W COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2913
Country : US
Telephone Number : 530-661-4410
Fax Number : 530-661-4403
Provider Business Practice Location Address
First Line : 175 W COURT ST
Second Line :
City : WOODLAND
State : CA
Zip : 95695-2913
Country : US
Telephone Number : 530-661-4410
Fax Number : 530-661-4403
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2006
Last Update Date : 06/27/2011

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