DEAN M KELAITA MD

SONORA COMMUNITY HOSPITAL

Dr DEAN M KELAITA MD is a male medical professional, specializing in Family Medicine. He graduated in 1993.

Contact

SONORA COMMUNITY HOSPITAL

445 S MAIN ST
ANGELS CAMP
CA
952229328

Tel: 2097360249

DEAN M KELAITA MD Information

Npi 1750310496
Pac Id 5092791541
Professional Enrollment Id I20040625000955
Last Name KELAITA
First Name DEAN
Middle Name M
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1993
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SONORA COMMUNITY HOSPITAL
Group Practice Pac Id 4284538505
Number Of Group Practice Members 97
Line 1 Street Address 445 S MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ANGELS CAMP
State CA
Zip Code 952229328
Phone Number 2097360249
Hospital Affiliation Ccn 1 050335
Hospital Affiliation Lbn 1 ADVENTIST HEALTH SONORA
Hospital Affiliation Ccn 2 051332
Hospital Affiliation Lbn 2 MARK TWAIN MEDICAL CENTER
Hospital Affiliation Ccn 3 050014
Hospital Affiliation Lbn 3 SUTTER AMADOR HOSPITAL
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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