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Organization
PAUL J PERCIVAL M D MEDICAL CORPORATION
Active
Organization
PAUL J PERCIVAL M D MEDICAL CORPORATION
Active
Other names
Hollister Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN VALLEJO (OFFICE MANAGER)
(831) 638-9715
Entity
Organization
Contact information
Practice address
591 MCCRAY ST, SUITE 221, HOLLISTER, CA 95023-2224
(831) 638-9715
(831) 637-7691
Mailing address
591 MCCRAY ST, SUITE 221, HOLLISTER, CA 95023-2224
(831) 638-9715
(831) 637-7691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G83115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631829
—
CA
01
—
1972595692
IND. NPI, PAUL PERCIVAL
CA
Enumeration date
03/16/2007
Last updated
04/19/2022
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