Organization
WARREN J. WISNOFF, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALEE GARRETT (ADMINISTRATOR)
(661) 331-1121
Entity
Organization
Contact information
Practice address
7440 MEANY AVE, SUITE B, BAKERSFIELD, CA 93308-5183
(661) 843-7843
(661) 843-7834
Mailing address
7440 MEANY AVE, SUITE B, BAKERSFIELD, CA 93308-5183
(661) 843-7843
(661) 843-7834
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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