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Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP, INCORPORATED
Active
Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP, INCORPORATED
Active
Other names
MFA G Street
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SHAW (CEO)
(209) 761-4555
Entity
Organization
Contact information
Practice address
3393 G ST, SUITE C, MERCED, CA 95340-0964
(209) 725-7149
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
02/24/2014
Last updated
09/29/2015
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