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Organization
MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Active
Organization
MMC EMERGENCY PHYSICIANS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD D BAILEY JR. M.D. (OWNER)
(805) 739-3211
Entity
Organization
Contact information
Practice address
505 PLAZA DR, SANTA MARIA, CA 93454-6907
(805) 739-3211
(805) 739-3059
Mailing address
505 PLAZA DR, SANTA MARIA, CA 93454-6907
(805) 739-3211
(805) 739-3059
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0054631
—
CA
Enumeration date
06/19/2006
Last updated
07/21/2022
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