Valley Pacific A Medical Corporation | |
7055 N Chestnut Ave Ste 103 Fresno CA 93720-0350 | |
(559) 216-0407 | |
(559) 892-4550 |
Full Name | Valley Pacific A Medical Corporation |
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Speciality | Internal Medicine |
Location | 7055 N Chestnut Ave Ste 103, Fresno, California |
Authorized Official Name and Position | Colby R. Morton (CO-OWNER) |
Authorized Official Contact | 5592160407 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Pacific A Medical Corporation Po Box 25042 Fresno CA 93729-5042 Ph: (559) 892-4500 | Valley Pacific A Medical Corporation 7055 N Chestnut Ave Ste 103 Fresno CA 93720-0350 Ph: (559) 216-0407 |
NPI Number | 1295481968 |
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Provider Enumeration Date | 02/22/2022 |
Last Update Date | 02/22/2022 |
Medicare PECOS PAC ID | 2567848609 |
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Medicare Enrollment ID | O20220927003495 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295481968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Provider Name | Colby Morton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124569991 PECOS PAC ID: 0446639769 Enrollment ID: I20220616001881 |
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