Individual
DR. JORGE L PALACIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W. MINERAL, VISALIA, CA 93291-6237
(559) 624-2000
(559) 741-4896
Mailing address
5874 E SHEPHERD AVE, CLOVIS, CA 93619-9524
(559) 930-1265
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A69353
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
A69353
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A693530
BS OF CA
CA
05
—
00A693530
—
CA
01
—
050089642
RAILROAD MEDICARE
CA
Enumeration date
05/11/2006
Last updated
02/09/2009
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