Organization
COMMUNITY FOUNDATION MEDICAL GROUP
Active
Parent organization
COMMUNITY FOUNDATION MEDICAL GROUP
Other names
Sante' Foundation Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY FOUNDATION MEDICAL GROUP
Authorized official
MR. SCOTT B WELLS (CEO/PRESIDENT)
(559) 228-5429
Entity
Organization
Contact information
Practice address
7005 N MAPLE AVE STE 108, FRESNO, CA 93720-8009
(559) 325-3832
(559) 325-2603
Mailing address
PO BOX 28949, FRESNO, CA 93729-8949
(559) 228-4200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
02/02/2022
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