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1165 Phelps Ave Suite 203 Coalinga CA 93210-9663 | |
(559) 935-5555 | |
(559) 935-2827 |
Full Name | |
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Speciality | Physician Assistant |
Location | 1165 Phelps Ave, Coalinga, California |
Authorized Official Name and Position | Paul A Griffin (PRESIDENT) |
Authorized Official Contact | 5599355555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1165 Phelps Ave Suite 203 Coalinga CA 93210-9663 Ph: (559) 935-5555 | 1165 Phelps Ave Suite 203 Coalinga CA 93210-9663 Ph: (559) 935-5555 |
NPI Number | 1467561126 |
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Provider Enumeration Date | 08/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467561126 | NPI | - | NPPES |
ZZZ62486Z | Other | CA | BLUE SHIELD GROUP # |
GR0082980 | Medicaid | CA |