Organization
PREMIER SURGICAL GROUP CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEARE PARKER (PRACTICE MANAGER)
(209) 230-5351
Entity
Organization
Contact information
Practice address
105 W EL PORTAL DR STE B, MERCED, CA 95348-2858
(209) 230-5351
(209) 230-5373
Mailing address
105 W EL PORTAL DR STE B, MERCED, CA 95348-2858
(209) 230-5351
(209) 230-5373
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
09/16/2021
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