Individual
DR. SIMON TOBIAS VILLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3133 N MILLBROOK AVE, FRESNO, CA 93703-1425
(559) 453-8918
Mailing address
1331 CANYONCREEK ST, HANFORD, CA 93230-6944
(559) 582-3949
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A500910
CA
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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