Organization
VALLEY SURGICAL SPECIALISTS MEDICAL GRP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MICHIO MARUYAMA M.D. (CHIEF EXECUTIVE OFFICER)
(559) 450-3901
Entity
Organization
Contact information
Practice address
1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 93720-3330
(559) 450-3901
(559) 450-3903
Mailing address
1125 EAST SPRUCE AVENUE, SUITE 101, FRESNO, CA 93720-3330
(559) 450-3901
(559) 450-3903
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
11/14/2008
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