Organization
LESLIE A. STOREY, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE A. STOREY M.D. (OWNER)
(559) 472-7546
Entity
Organization
Contact information
Practice address
7777 N. INGRAM AVE., FRESNO, CA 93711-6281
(559) 472-7546
(559) 385-7733
Mailing address
4388 N WILSON AVE, FRESNO, CA 93704-3628
(559) 476-0515
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A81742
CA
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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