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Organization
SAINT AGNES MEDICAL PROVIDERS INC
Active
Organization
SAINT AGNES MEDICAL PROVIDERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PAUL SOLDO M.D. (OWNER)
(559) 450-7098
Entity
Organization
Contact information
Practice address
1377 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3022
(559) 450-7455
(559) 450-7473
Mailing address
1303 E HERNDON AVE, MS 945, FRESNO, CA 93720-3309
(559) 450-7098
(559) 450-3905
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/06/2012
Last updated
03/05/2013
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