Fresno Institute Of Neuroscience, Inc | |
1558 E Shadow Creek Dr Fresno CA 93730-3536 | |
(610) 349-0686 | |
(151) 697-7329 |
Full Name | Fresno Institute Of Neuroscience, Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 1558 E Shadow Creek Dr, Fresno, California |
Authorized Official Name and Position | Mark Stecker (PRESIDENT) |
Authorized Official Contact | 6103490686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fresno Institute Of Neuroscience, Inc 1968 S Coast Hwy Ste 550 Laguna Beach CA 92651-3681 Ph: (151) 647-8830 | Fresno Institute Of Neuroscience, Inc 1558 E Shadow Creek Dr Fresno CA 93730-3536 Ph: (610) 349-0686 |
NPI Number | 1548881873 |
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Provider Enumeration Date | 04/28/2020 |
Last Update Date | 04/28/2020 |
Certification Date | 04/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548881873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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