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1505 Shepard Dr Ste 104 Santa Maria CA 93454-7016 | |
(805) 928-2645 | |
(805) 928-1995 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1505 Shepard Dr Ste 104, Santa Maria, California |
Authorized Official Name and Position | Juleen Stimson (ADMINISTRATOR) |
Authorized Official Contact | 8059251009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1505 Shepard Dr Suite 131 Santa Maria CA 93454-7020 Ph: (805) 928-2645 | 1505 Shepard Dr Ste 104 Santa Maria CA 93454-7016 Ph: (805) 928-2645 |
NPI Number | 1285822015 |
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Provider Enumeration Date | 10/05/2007 |
Last Update Date | 03/11/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285822015 | NPI | - | NPPES |
ZZZ60016Z | Other | CA | BLUESHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal 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 | |