MEDICARE: MARY BETH PALOMAKI 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
1	208000000X	Pediatrics Physician	A121747	CA

General Provider Information

NPI Number	:	1134449929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY BETH PALOMAKI M.D.

Provider Business Mailing Address
First Line	:	1186 LELAND AVE
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-7811
Country	:	US
Telephone Number	:	559-686-9097
Fax Number	:

Provider Business Practice Location Address
First Line	:	1186 LELAND AVE
Second Line	:
City	:	TULARE
State	:	CA
Zip	:	93274-7811
Country	:	US
Telephone Number	:	559-686-9097
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2010
Last Update Date	:	07/27/2012

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