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Organization
MESA WEST MEDICAL INC
Active
Organization
MESA WEST MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD GILLI M.D. (OWNER)
(661) 617-6750
Entity
Organization
Contact information
Practice address
8327 BRIMHALL ROAD BLDG 700, SUITE 704, BAKERSFIELD, CA 93312
(661) 617-6750
(661) 617-6760
Mailing address
8327 BRIMHALL ROAD BLDG 700, SUITE 704, BAKERSFIELD, CA 93312-0000
(661) 617-6750
(661) 617-6760
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G53033
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057501
—
CA
Enumeration date
06/21/2007
Last updated
02/17/2014
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