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Individual

DR. DAVID I MARGOLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 E ALLUVIAL AVE STE 101, FRESNO, CA 93720-3832
(559) 438-1245
(559) 261-2968
Mailing address
PO BOX 25042, FRESNO, CA 93729-5042
(559) 438-1245
(559) 261-2968

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G50321
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G503211
BLUE SHIELD
CA
05
00G503211
CA
01
130010398
RAILROAD MEDICARE
CA
Enumeration date
10/16/2006
Last updated
04/05/2010
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