Vladimir Royter, M.d., A Professional Medical Corporation | |
125 Mall Dr Ste 209b Hanford CA 93230-5794 | |
(559) 584-9000 | |
Not Available |
Full Name | Vladimir Royter, M.d., A Professional Medical Corporation |
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Speciality | Psychiatry & Neurology |
Location | 125 Mall Dr Ste 209b, Hanford, California |
Authorized Official Name and Position | Vladimir Royter (PRESIDENT) |
Authorized Official Contact | 5595849000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vladimir Royter, M.d., A Professional Medical Corporation 125 Mall Dr Ste 209b Hanford CA 93230-5794 Ph: (559) 584-9000 | Vladimir Royter, M.d., A Professional Medical Corporation 125 Mall Dr Ste 209b Hanford CA 93230-5794 Ph: (559) 584-9000 |
NPI Number | 1326404849 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 01/29/2016 |
Medicare PECOS PAC ID | 7911202866 |
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Medicare Enrollment ID | O20160301002373 |
Identifier | Type | State | Issuer |
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1326404849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084N0400X | Psychiatry & Neurology - Neurology | A109062 (California) | Primary |
Provider Name | Janet H Dove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982860664 PECOS PAC ID: 1557424538 Enrollment ID: I20090117000040 |
Provider Name | Vladimir Royter |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972734119 PECOS PAC ID: 7911044904 Enrollment ID: I20091023000281 |
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