Organization
SIERRA INDUSTRIAL MEDICAL CLINIC, INC
Active
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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