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Organization
HEMATOLOGY-ONCOLOGY MEDICAL GROUP OF FRESNO, INC
Active
Organization
HEMATOLOGY-ONCOLOGY MEDICAL GROUP OF FRESNO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN GENTZLER (ADMINISTRATOR)
(559) 447-4930
Entity
Organization
Contact information
Practice address
7130 N MILLBROOK AVE, SUITE 100, FRESNO, CA 93720-3347
(559) 447-4949
Mailing address
7130 N MILLBROOK AVE, SUITE 100, FRESNO, CA 93720-3347
(559) 447-4949
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ75882Z
—
CA
Enumeration date
08/13/2006
Last updated
02/25/2010
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