Individual
SHIRLEY PUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5400 W HILLSDALE AVE, VISALIA, CA 93291
(559) 738-7532
(559) 739-2052
Mailing address
5400 W HILLSDALE AVE, VISALIA, CA 93291-8222
(559) 738-7532
(559) 739-2052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31301
IA
207RG0100X
Gastroenterology Physician
Primary
C151394
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0285957
—
IA
Enumeration date
06/09/2005
Last updated
11/11/2019
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