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Organization
NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization
NORTH FRESNO EMERGENCY PHYSICIANS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLAKE C SCHUG MD (PRESIDENT)
(559) 450-3263
Entity
Organization
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3205
Mailing address
PO BOX 28951, FRESNO, CA 93729-8951
(888) 398-1370
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183701800
US DEPT OF LABOR/WC
—
01
—
204042
US DEPT OF LABOR/ENERGY
—
05
—
GR0053910
—
CA
01
—
ZZZ34627Z
BLUE SHIELD
—
Enumeration date
07/05/2006
Last updated
09/28/2009
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