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is a It is situated at and its contact number is . The authorized person of is who is of the clinic and their contact number is .
Complete Clinic Profile:
Clinic speciality, address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Specialization:
Clinic Address:,
,
Phone:
Fax:
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Position:
Contact Number:
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details for Clinic are as mentioned below.
NPI Number: 1386010684
NPI Enumeration Date: 23 Jan, 2022
NPI Last Update On: 23 Jan, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
SpecializationLicense NumberStateStatus
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
,
,
Zip:
Phone Number:
Fax Number:
Patients can reach at , or can call to book an appointment on . Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 January, 2022.

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