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Organization
ANTHER MEDICAL CORPORATION
Active
Organization
ANTHER MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANNE ARCILLA TABLIZO M.D. (PRESIDENT)
(323) 382-5753
Entity
Organization
Contact information
Practice address
1290 E SPRUCE AVE STE 103, FRESNO, CA 93720-3371
(323) 382-5753
Mailing address
1290 EAST SPRUCE AVE,SUITE 103, FRESNO, CA 93720-3371
(559) 840-0437
(559) 840-0037
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
NULL
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2016
Last updated
12/14/2016
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