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Organization
TRIBUNE MEDICAL GROUP
Active
Organization
TRIBUNE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAIN GALLEGO FNP-C; PA-C (CEO)
(661) 865-8893
Entity
Organization
Contact information
Practice address
1818 NILES ST, BAKERSFIELD, CA 93305-4910
(661) 865-8893
Mailing address
PO BOX 22096, BAKERSFIELD, CA 93390-2096
(661) 865-8893
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C3604747
CA
Other
Enumeration date
08/03/2009
Last updated
06/21/2018
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