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Physicians Neuromusculoskeletal Medicine, Sports Medicine

Provider NPI: 1093747396

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
1122 N HARRIS ST STE 104 HANFORD, CA 93230-3785 US
Tel: 559-582-1041  Fax: 559-582-4829

Business Mailing Address:
Tel: 559-582-0141  Fax: 559-582-4829

NPI Information:
NPI: 1093747396
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Neuromusculoskeletal Medicine, Sports Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 204C00000X





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