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Organization
SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION
Active
Organization
SIMONIAN SPORTS MEDICINE CLINIC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T SIMONIAN M.D. (PRESIDENT)
(559) 228-4204
Entity
Organization
Contact information
Practice address
729 NORTH MEDICAL CENTER DRIVE WEST, SUITE 101, CLOVIS, CA 93611-6880
(559) 439-7633
(559) 439-7631
Mailing address
PO BOX 28921, FRESNO, CA 93729-8921
(559) 228-5448
(559) 224-3920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G83773
CA
Other
Enumeration date
04/06/2006
Last updated
08/13/2013
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