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Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Organization
MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Active
Other names
MFA LIVINGSTON
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SHAW (CEO)
(209) 723-1920
Entity
Organization
Contact information
Practice address
746 MAIN ST, LIVINGSTON, CA 95334-1308
(209) 398-2145
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
10/01/2014
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