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Organization

CLINCA SIERRA VISTA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN SHILLING (CHIEF EXECUTIVE OFFICER)
(661) 635-3050
Entity
Organization

Contact information

Practice address
815 DR MARTIN LUTHER KING JR BLVD, BAKERSFIELD, CA 93307-1365
(661) 322-3905
(661) 322-1370
Mailing address
1430 TRUXTUN AVE STE 400, BAKERSFIELD, CA 93301-5220
(661) 635-3050
(661) 869-1503

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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