Organization
MEDSURGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY C HUDSON PA (PRESIDENT)
(559) 351-5459
Entity
Organization
Contact information
Practice address
2672 EVERGLADE AVE, CLOVIS, CA 93619-7426
(559) 351-5459
Mailing address
2672 EVERGLADE AVE, CLOVIS, CA 93619-7426
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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