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Organization
LQMG MEDICAL GROUP INC.
Active
Organization
LQMG MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER J GONG MD (PRESIDENT)
(559) 450-5777
Entity
Organization
Contact information
Practice address
1221 E SPRUCE AVE, FRESNO, CA 93720
(559) 450-5777
(559) 449-2654
Mailing address
1221 E SPRUCE AVE, FRESNO, CA 93720
(559) 450-5777
(559) 449-2654
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2006
Last updated
06/23/2010
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