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Organization

REBECCA STICKLER MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA STICKLER MD (PRESIDENT)
(559) 421-9002
Entity
Organization

Contact information

Practice address
2365 E FIR AVE, FRESNO, CA 93720-8016
(559) 421-9002
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(559) 421-9002

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G79112
CA

Other

Enumeration date
04/26/2012
Last updated
04/26/2012
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