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170 Yucca Ave Barstow CA 92311-3231 | |
(760) 256-9016 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 170 Yucca Ave, Barstow, California |
Authorized Official Name and Position | Bill Thomsen (CEO) |
Authorized Official Contact | 9098641097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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170 Yucca Ave Barstow CA 92311-3231 Ph: (760) 256-9016 | 170 Yucca Ave Barstow CA 92311-3231 Ph: (760) 256-9016 |
NPI Number | 1699108894 |
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Provider Enumeration Date | 08/12/2013 |
Last Update Date | 08/25/2021 |
Identifier | Type | State | Issuer |
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1699108894 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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