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Organization
GATEWAY EAR NOSE AND THROAT, INC
Active
Organization
GATEWAY EAR NOSE AND THROAT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRYAN HOLLON (OFFICE MANAGER)
(209) 724-0501
Entity
Organization
Contact information
Practice address
3351 M ST, SUITE 205, MERCED, CA 95348-2700
(209) 724-0501
(209) 724-0602
Mailing address
3351 M ST, SUITE 205, MERCED, CA 95348-2700
(209) 724-0501
(209) 724-0602
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G70792
CA
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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