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Organization
SAMUEL B RUSH MD PROF CORPORATION PENSION & PROFIT SHARING PLAN TRUST
Active
Organization
SAMUEL B RUSH MD PROF CORPORATION PENSION & PROFIT SHARING PLAN TRUST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL BURTON RUSH (OWNER)
(559) 298-3850
Entity
Organization
Contact information
Practice address
684 MEDICAL CENTER DR E, CLOVIS, CA 93611-6806
(559) 298-3858
(559) 298-3830
Mailing address
PO BOX 28915, FRESNO, CA 93729-8915
(559) 258-2800
(559) 253-2808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00G171190
CA
Other
Enumeration date
02/23/2010
Last updated
06/29/2020
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