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Organization
SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC
Active
Organization
SEQUOIA SURGICAL SPECIALISTS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDYTHE W STEWART MD (OWNER)
(559) 584-2695
Entity
Organization
Contact information
Practice address
125 MALL DR, 201, HANFORD, CA 93230-5787
(559) 584-2695
(559) 584-2697
Mailing address
125 MALL DR, 201, HANFORD, CA 93230-5787
(559) 584-2695
(559) 584-2697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A65931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A659310
—
CA
Enumeration date
05/18/2007
Last updated
03/03/2011
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