| Starr-wood Cardiac Group Of Visalia Medical Corporation, Pc | |
|
100 Willow Plz Suite 301 Visalia CA 93291-6206 | |
| (559) 734-3278 | |
| (503) 627-5723 |
| Full Name | Starr-wood Cardiac Group Of Visalia Medical Corporation, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 100 Willow Plz, Visalia, California |
| Authorized Official Name and Position | Frederick William Mayer (CARDIAC SERVICES) |
| Authorized Official Contact | 5597343278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starr-wood Cardiac Group Of Visalia Medical Corporation, Pc 4125 W Noble Ave Pmb 323 Visalia CA 93277-1662 Ph: (559) 734-3278 | Starr-wood Cardiac Group Of Visalia Medical Corporation, Pc 100 Willow Plz Suite 301 Visalia CA 93291-6206 Ph: (559) 734-3278 |
| NPI Number | 1902871841 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 06/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902871841 | NPI | - | NPPES |
| GR0072080 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | FNP23902 (California) | Primary |
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