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220 S Palisade Dr Ste 104b Santa Maria CA 93454-5931 | |
(805) 925-2521 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 220 S Palisade Dr Ste 104b, Santa Maria, California |
Authorized Official Name and Position | Laura J Theis (PRESIDENT) |
Authorized Official Contact | 8053491227 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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220 S Palisade Dr Suite 131 Santa Maria CA 93454-8902 Ph: (805) 925-2521 | 220 S Palisade Dr Ste 104b Santa Maria CA 93454-5931 Ph: (805) 925-2521 |
NPI Number | 1194913921 |
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Provider Enumeration Date | 10/05/2007 |
Last Update Date | 02/20/2020 |
Identifier | Type | State | Issuer |
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1194913921 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Robert S. Barry Md, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1420 S Miller St Ste A, Santa Maria, CA 93454 Phone: 805-922-3033 | |
Nightingale Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1414 S Miller St, Suite 4, Santa Maria, CA 93454 Phone: 805-349-6336 | |