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Organization

CALIFORNIA EMERGENCY PHYSICIANS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK J. SPIRO M.D. (M.D./VPO)
(510) 350-2770
Entity
Organization

Contact information

Practice address
400 WEST MINERAL KING AVENUE, VISALIA, CA 93291-6263
(559) 624-2000
(559) 635-4061
Mailing address
2100 POWELL STREET, SUITE 900, EMERYVILLE, CA 94608-1803
(510) 350-2600

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR001302Y
CA
Enumeration date
05/26/2006
Last updated
08/21/2007
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