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NPI Code Detail

MEDICARE: MR. PAUL MADSEN M.D.

MEDICARE: MR. PAUL MADSEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianC21103CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053337014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL MADSEN M.D.
Provider Business Mailing Address
First Line : 2625 E DIVISADERO ST
Second Line :
City : FRESNO
State : CA
Zip : 93721-1431
Country : US
Telephone Number : 559-443-2682
Fax Number : 559-443-2681
Provider Business Practice Location Address
First Line : 290 N WAYTE LN
Second Line :
City : FRESNO
State : CA
Zip : 93701-2124
Country : US
Telephone Number : 559-459-5755
Fax Number : 559-459-4453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 06/30/2014

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