| Digestive Disease Consultants, A Medical Corporation | |
|
1187 E Herndon Ave Ste 101 Fresno CA 93720-3166 | |
| (559) 440-0450 | |
| (559) 440-0461 |
| Full Name | Digestive Disease Consultants, A Medical Corporation |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1187 E Herndon Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Patrick David Ginn (PRESIDENT) |
| Authorized Official Contact | 5594400450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Consultants, A Medical Corporation 1187 E Herndon Ave Ste 101 Fresno CA 93720-3166 Ph: (559) 440-0450 | Digestive Disease Consultants, A Medical Corporation 1187 E Herndon Ave Ste 101 Fresno CA 93720-3166 Ph: (559) 440-0450 |
| NPI Number | 1508880121 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 02/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508880121 | NPI | - | NPPES |
| CQ2124 | Other | MEDICARE RAILROAD | |
| GR0057880 | Medicaid | CA | |
| ZZZ38536Z | Other | BLUE CROSS | |
| ZZZ38536Z | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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