Organization
JOHN R MCCREARY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R MCCREARY MD (OWNER)
(559) 431-9100
Entity
Organization
Contact information
Practice address
1660 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3359
(559) 431-9100
(559) 431-9177
Mailing address
1660 E HERNDON AVE, SUITE 104, FRESNO, CA 93720-3359
(559) 431-9100
(559) 431-9177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C29075
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C290750
MEDICARE ID
CA
Enumeration date
11/15/2010
Last updated
11/15/2010
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