Table Mountain Rancheria Medical Center | |
23638 Sky Harbour Rd Friant CA 93626-0410 | |
(559) 822-3785 | |
(559) 822-2928 |
Full Name | Table Mountain Rancheria Medical Center |
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Speciality | Internal Medicine |
Location | 23638 Sky Harbour Rd, Friant, California |
Authorized Official Name and Position | Marilyn O Benck (MEDICAL DIRECTOR) |
Authorized Official Contact | 5598223785 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Table Mountain Rancheria Medical Center Po Box 410 Friant CA 93626-0410 Ph: (559) 822-3785 | Table Mountain Rancheria Medical Center 23638 Sky Harbour Rd Friant CA 93626-0410 Ph: (559) 822-3785 |
NPI Number | 1093983389 |
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Provider Enumeration Date | 02/20/2008 |
Last Update Date | 02/20/2008 |
Identifier | Type | State | Issuer |
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1093983389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | G42148 (California) | Primary |