Organization
COMMUNITY ANESTHESIA PROVIDERS MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN YEAGLE MD (GROUP PRESIDENT)
(559) 459-6000
Entity
Organization
Contact information
Practice address
FRESNO & R STREET, FRESNO, CA 93721
(559) 459-6000
Mailing address
PO BOX 45123, SAN FRANCISCO, CA 94145
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184226100
US DEPT OF LABOR
CA
05
—
GR0088281
—
CA
01
—
ZZZ60664Z
BLUE SHIELD OF CA
CA
Enumeration date
05/19/2006
Last updated
03/14/2012
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