Organization
FOOTHILL PEDIATRICS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLEY W GEORGE MD (PRESIDENT)
(209) 532-5524
Entity
Organization
Contact information
Practice address
12791 CABEZUT RD, SONORA, CA 95370-5926
(209) 532-5524
(209) 532-1513
Mailing address
12791 CABEZUT RD, SONORA, CA 95370-5926
(209) 532-5524
(209) 532-1513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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