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Organization
PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP INC
Active
Organization
PEDIATRIC ANESTHESIA ASSOCIATES MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL MORTON MD (TREASURER)
(559) 449-4350
Entity
Organization
Contact information
Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
6235 N FRESNO ST, SUITE #103, FRESNO, CA 93710-5269
(559) 449-4350
(559) 449-4358
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA
207LP3000X
Pediatric Anesthesiology Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ71868Z
—
CA
Enumeration date
04/19/2007
Last updated
03/17/2018
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