Individual
CONALL MCCABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 N WAYTE LN, FRESNO, CA 93701-2124
(559) 459-5700
(559) 459-4443
Mailing address
4910 E CLINTON WAY, SUITE 101, FRESNO, CA 93727-1560
(559) 443-2682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G59261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G592610
—
CA
Enumeration date
08/25/2006
Last updated
06/23/2011
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