Organization
MYLEA N WILEY MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLEA N WILEY M.D. (OWNER/PHYSICIAN)
(513) 237-3242
Entity
Organization
Contact information
Practice address
2755 HERNDON AVE, CLOVIS, CA 93611-6801
(559) 324-4000
(559) 324-3744
Mailing address
2595 E PERRIN AVE, #114, FRESNO, CA 93720-5202
(559) 455-8944
(559) 436-4395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A889170
—
CA
Enumeration date
01/16/2020
Last updated
07/18/2024
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