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Organization
COMMUNITY FOUNDATION MEDICAL GROUP
Active
Organization
COMMUNITY FOUNDATION MEDICAL GROUP
Active
Parent organization
COMMUNITY FOUNDATION MEDICAL GROUP
Other names
Sante' Foundation Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Authorized official
MR. SCOTT B WELLS (CEO/PRESIDENT)
(559) 228-5429
Entity
Organization
Contact information
Practice address
1516 SHAW AVE, CLOVIS, CA 93611-4028
(559) 228-5400
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-5400
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
213ES0131X
Foot Surgery Podiatrist
—
NULL
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Enumeration date
07/27/2021
Last updated
02/14/2022
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