| Dwight W Sievert Md Inc | |
|
7766 N Palm Ave Ste 107 Fresno CA 93711-5734 | |
| (559) 435-0800 | |
| (559) 435-7720 |
| Full Name | Dwight W Sievert Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7766 N Palm Ave Ste 107, Fresno, California |
| Authorized Official Name and Position | Syuzanna Torosian (ADMINISTRATOR) |
| Authorized Official Contact | 5594350800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwight W Sievert Md Inc 7766 N Palm Ave Ste 107 Fresno CA 93711-5734 Ph: (559) 435-0800 | Dwight W Sievert Md Inc 7766 N Palm Ave Ste 107 Fresno CA 93711-5734 Ph: (559) 435-0800 |
| NPI Number | 1972509214 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Medicare PECOS PAC ID | 1052365103 |
|---|---|
| Medicare Enrollment ID | O20050310000931 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972509214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G47593 (California) | Primary |
| Provider Name | Dwight William Sievert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841388022 PECOS PAC ID: 7113971276 Enrollment ID: I20050310000987 |
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