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Individual

ALBERT PROMIS COL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3385 G ST, SUITE A, MERCED, CA 95340-0964
(209) 725-3122
(209) 725-3128
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-3122
(209) 725-3128

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G61355
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G613550
CA
Enumeration date
08/30/2006
Last updated
12/22/2025
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