Organization
INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC
Active
Other names
INTERNAL MEDICINE AND WELLNESS THERAPIES MEDICAL OFFICE INC
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRINE BAYARD BISHARAT MD (PRESIDENT)
(916) 481-4389
Entity
Organization
Contact information
Practice address
6815 FAIR OAKS BLVD, CARMICHAEL, CA 95608-3868
(916) 481-4389
(916) 481-4307
Mailing address
6815 FAIR OAKS BLVD, CARMICHAEL, CA 95608-3868
(916) 481-4389
(916) 481-4307
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A048709
CA
Other
Enumeration date
01/29/2007
Last updated
01/21/2020
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