David A. Palmore M.d. Inc. | |
1187 E Herndon Ave Fresno CA 93720-3166 | |
(559) 449-4547 | |
(559) 761-1530 |
Full Name | David A. Palmore M.d. Inc. |
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Speciality | Internal Medicine |
Location | 1187 E Herndon Ave, Fresno, California |
Authorized Official Name and Position | Nilda Karina Palmore (ADMINISTRATOR) |
Authorized Official Contact | 5597790399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
David A. Palmore M.d. Inc. 1187 E Herndon Ave Fresno CA 93720-3166 Ph: (559) 449-4547 | David A. Palmore M.d. Inc. 1187 E Herndon Ave Fresno CA 93720-3166 Ph: (559) 449-4547 |
NPI Number | 1396076469 |
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Provider Enumeration Date | 01/28/2010 |
Last Update Date | 01/28/2010 |
Medicare PECOS PAC ID | 2163566589 |
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Medicare Enrollment ID | O20100223000103 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396076469 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A49623 (California) | Primary |
Provider Name | David A Palmore |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619977444 PECOS PAC ID: 2264576685 Enrollment ID: I20100223000095 |
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