Harvey L. Edmonds, M.d. Inc | |
728 E Ballard Avenue Suite 104 Fresno CA 93710 | |
(559) 436-9800 | |
(559) 436-9804 |
Full Name | Harvey L. Edmonds, M.d. Inc |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 728 E Ballard Avenue, Fresno, California |
Authorized Official Name and Position | Harvey Lawrence Edmonds (OWNER/PRESIDENT) |
Authorized Official Contact | 5594369800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Harvey L. Edmonds, M.d. Inc 728 E Ballard Avenue Suite 104 Fresno CA 93710 Ph: (559) 436-9800 | Harvey L. Edmonds, M.d. Inc 728 E Ballard Avenue Suite 104 Fresno CA 93710 Ph: (559) 436-9800 |
NPI Number | 1134493349 |
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Provider Enumeration Date | 03/06/2012 |
Last Update Date | 03/06/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134493349 | NPI | - | NPPES |
00G247250 | Other | MEDICAL PROV NO | |
4136936 | Other | MEDICAL UPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | G24725 (California) | Primary |
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