# RENAL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669503967
- **Authorized official:** ROGER J HALEY M.D. (PARTNER)
- **Authorized official phone:** (559) 625-4630

## Contact information

- **Practice address:** 515 S LOCUST ST, VISALIA, CA 93277-2616
- **Practice address phone:** (559) 625-4630
- **Practice address fax:** (559) 625-4699
- **Mailing address:** 515 S LOCUST ST, VISALIA, CA 93277-2616
- **Mailing address phone:** (559) 625-4630
- **Mailing address fax:** (559) 625-4699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 12/05/2011