Individual
AMR F AL-BACIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 COFFEE RD, MODESTO, CA 95355
(209) 550-3984
(209) 550-4872
Mailing address
10470 OLD PLACERVILLE RD STE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
52948
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C159482
CA
207RP1001X
Pulmonary Disease Physician
52948
WI
207RP1001X
Pulmonary Disease Physician
E4577
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158981001
—
AR
Enumeration date
02/22/2006
Last updated
03/20/2019
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