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NPI Profile for CEATTLE BALCORTA in LEMOORE, CA.
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI # | 1275279689 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 05/09/2022 | |
| Last updated | 06/07/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CEATTLE BALCORTA
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CEATTLE BALCORTA, DO