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Organization
SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
Active
Organization
SIERRA PACIFIC ORTHOPAEDIC CENTER MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDSI HANSON (HR SPECIALIST)
(559) 256-5200
Entity
Organization
Contact information
Practice address
1630 E HERNDON AVE, FRESNO, CA 93720-3305
(559) 256-5200
(559) 256-5367
Mailing address
1630 E HERNDON AVE, FRESNO, CA 93720-3305
(559) 256-5200
(559) 256-5376
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168871
STATE OF WASHINGTON
CA
01
—
CJ2542
RAILROAD MEDICARE
CA
Enumeration date
07/12/2006
Last updated
06/28/2018
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