Organization
SIERRA INDUSTRIAL MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN OLUFS BENCK MD (PRESIDENT)
(559) 224-1770
Entity
Organization
Contact information
Practice address
3636 N 1ST ST, #135, FRESNO, CA 93726-6800
(559) 224-1770
(559) 224-4536
Mailing address
3636 N 1ST ST, #135, FRESNO, CA 93726-6800
(559) 224-1770
(559) 224-4536
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G42148
CA
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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