Organization
GATEWAY EAR NOSE AND THROAT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BRYAN HOLLON (OFFICE MANAGER)
(209) 724-0501
Entity
Organization
Contact information
Practice address
3351 M ST, SUITE 205, MERCED, CA 95348-2700
(209) 724-0501
(209) 724-0602
Mailing address
3351 M ST, SUITE 205, MERCED, CA 95348-2700
(209) 724-0501
(209) 724-0602
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
G70792
CA
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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