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Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA L SHAW (CEO)
(209) 723-1920
Entity
Organization
Contact information
Practice address
127 W EL PORTAL DR, MERCED, CA 95348-2853
(209) 723-3704
(209) 723-0272
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2005
Last updated
01/06/2020
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