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Narwhals Mating

  • Male

Medical Specialty

Professional ID

  • NPI: 1073694378
  • PECOS ID: 9739113317
  • Enrollment ID: I20050922000959
  • Credential(MD, DO, DPM): MD
  • Medical School: University Of Minnesota Medical School
  • Medical School Graduation Year: 2000

Hospital Service

  • Hospital CCN1: 050261
  • Business Name (LBN)1: Sierra View Medical Center

Medical Practices

  • Organization Name: Family Healthcare Network
  • Group Practice ID assigned by PECOS: 6305756339
  • Number of Group Practice member: 38

Location

  • Address1: 35800 Hwy 190
  • Address2:
  • City: Springville
  • State: California
  • Zip Code: 93265
  • Phone Number: (559)539-2324

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):