Organization
STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC
Active
Organization
STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WILLIAM MAYER MD (CARDIAC SERVICES)
(559) 734-3278
Entity
Organization
Contact information
Practice address
100 WILLOW PLZ, SUITE 301, VISALIA, CA 93291-6206
(559) 734-3278
(503) 627-5723
Mailing address
4125 W NOBLE AVE, PMB 323, VISALIA, CA 93277-1662
(559) 734-3278
(503) 627-5723
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
FNP23902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0072080
—
CA
Enumeration date
02/22/2006
Last updated
06/27/2008
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