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Organization
JIM PHANUCHARAS, M.D., INC.
Active
Organization
JIM PHANUCHARAS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PHANUCHARAS M.D. (OWNER PHYSICIAN)
(559) 261-2566
Entity
Organization
Contact information
Practice address
7797 N 1ST ST # 270, FRESNO, CA 93720-0962
(559) 261-2566
(559) 435-4319
Mailing address
7797 N 1ST ST # 270, FRESNO, CA 93720-0962
(559) 261-2566
(559) 435-4319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A82493
CA
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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