Organization
ULTIMATE LIVING MEDICAL CLINIC, PROF. CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RALPH WORK M.D. (PRESIDENT)
(559) 435-8000
Entity
Organization
Contact information
Practice address
1660 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3359
(559) 435-8000
(559) 380-2879
Mailing address
1660 E HERNDON AVE, SUITE 101, FRESNO, CA 93720-3359
(559) 435-8000
(559) 380-2879
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A66593
CA
208VP0000X
Pain Medicine Physician
A66593
CA
Other
Enumeration date
07/22/2006
Last updated
10/16/2008
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