Organization
SAN JOAQUIN VALLEY INTERVENTIONAL PAIN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANCIS PETRAGLIA M.D. (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
6210 N 1ST ST, FRESNO, CA 93710-5447
(562) 407-2080
(562) 407-2082
Mailing address
PO BOX 3969, CERRITOS, CA 90703-3969
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
06/11/2008
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