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Organization
MADERA ANESTHESIA CONSULTANTS, INC
Active
Organization
MADERA ANESTHESIA CONSULTANTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR YANEZ MD (GROUP PRESIDENT)
(559) 675-5555
Entity
Organization
Contact information
Practice address
1250 E ALMOND AVE, MADERA, CA 93637-5606
(559) 675-5555
Mailing address
PO BOX 7096, STOCKTON, CA 95267
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102860
—
CA
Enumeration date
08/01/2006
Last updated
08/02/2012
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