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Organization
VISALIA FAMILY PRACTICE MEDICAL GROUP
Active
Organization
VISALIA FAMILY PRACTICE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BREANA BERGDORF (ADMINISTRATOR)
(559) 625-9200
Entity
Organization
Contact information
Practice address
107 N HALL ST STE D, VISALIA, CA 93291-5850
(559) 625-9200
(559) 625-0665
Mailing address
107 N HALL ST STE D, VISALIA, CA 93291-5850
(559) 625-9200
(559) 625-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2006
Last updated
01/05/2023
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