Organization
MINERAL KING SURGICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI M BONISKE (BILLING CONSULTANT)
(559) 732-5290
Entity
Organization
Contact information
Practice address
5533 W HILLSDALE AVE, SUITE C, VISALIA, CA 93291-5138
(559) 622-8500
(559) 622-9410
Mailing address
PO BOX 7436, VISALIA, CA 93290-7436
(559) 622-8500
(559) 622-9410
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2008
Last updated
05/21/2014
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