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Organization
INTERNAL MEDICINE SPECIALISTS MEDICAL GROUP, INC.
Active
Organization
INTERNAL MEDICINE SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYTHE LARAMIE MD (CO-OWNER)
(559) 435-0339
Entity
Organization
Contact information
Practice address
1515 E ALLUVIAL AVE, SUITE 101, FRESNO, CA 93720-3832
(559) 435-0339
(559) 435-0853
Mailing address
1515 E ALLUVIAL AVE, SUITE 101, FRESNO, CA 93720-3832
(559) 435-0339
(559) 435-0853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G38222
CA
207R00000X
Internal Medicine Physician
Primary
G59244
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G80217
INTERNAL MEDICINE
CA
Enumeration date
03/03/2013
Last updated
06/06/2023
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