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Organization

MERCY MEDICAL CENTER MERCED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN PAIK-TESCH M.D (PROGRAM DIRECTOR)
(209) 564-3513
Entity
Organization

Contact information

Practice address
4123 TUDAL CT, MERCED, CA 95348-8425
(209) 722-8847
Mailing address
4123 TUDAL CT, MERCED, CA 95348-8425
(209) 722-8847

Taxonomy

Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
A116159
CA
261QP2300X
Primary Care Clinic/Center
Primary
A116159
CA
261QU0200X
Urgent Care Clinic/Center
A116159
CA

Other

Enumeration date
03/11/2011
Last updated
03/11/2011
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