Organization
IMPACT MEDICAL GROUP, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFEATU EKELEM MD (MD)
(559) 452-1000
Entity
Organization
Contact information
Practice address
5261 E KINGS CANYON RD, SUITE 107, FRESNO, CA 93727-4028
(559) 452-1000
Mailing address
5261 E KINGS CANYON RD, SUITE 107, FRESNO, CA 93727-4028
(559) 452-1000
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2007
Last updated
05/25/2016
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