Organization
DIGESTIVE DISEASE CONSULTANTS, A MEDICAL CORPORATION
Active
Organization
DIGESTIVE DISEASE CONSULTANTS, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK DAVID GINN M.D. (PRESIDENT)
(559) 440-0450
Entity
Organization
Contact information
Practice address
1187 E HERNDON AVE STE 101, FRESNO, CA 93720-3166
(559) 440-0450
(559) 440-0461
Mailing address
1187 E HERNDON AVE STE 101, FRESNO, CA 93720-3166
(559) 440-0450
(559) 440-0461
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2124
MEDICARE RAILROAD
—
05
—
GR0057880
—
CA
01
—
ZZZ38536Z
BLUE CROSS
—
Enumeration date
07/27/2006
Last updated
02/19/2009
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