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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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