Organization
ATWATER MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LAURENCE TAGGART M.D. (PARTNER)
(209) 358-5611
Entity
Organization
Contact information
Practice address
1775 3RD ST, ATWATER, CA 95301-3608
(209) 358-5611
(209) 358-0219
Mailing address
1775 3RD ST, ATWATER, CA 95301-3608
(209) 358-5611
(209) 358-0219
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11121
CA
Other
Enumeration date
10/09/2006
Last updated
09/11/2014
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