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Individual

DR. PATRICK DAVID GINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1187 E HERNDON AVE STE 101, FRESNO, CA 93720-3166
(559) 440-0450
(559) 440-0461
Mailing address
1187 E HERNDON AVE STE 101, FRESNO, CA 93720-3166
(559) 440-0450
(559) 440-0461

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G50537
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G505370
BLUE CROSS
05
00G505370
CA
01
100001423
MEDICARE RAILROAD
Enumeration date
07/27/2006
Last updated
02/23/2009
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