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NPI Code Detail

MEDICARE: DR. DEJUAN SINGLETARY MD

MEDICARE: DR. DEJUAN SINGLETARY MD
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
12084P0804XChild & Adolescent Psychiatry PhysicianMD26253OR

General Provider Information

NPI Number : 1346213352
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEJUAN SINGLETARY MD
Provider Business Mailing Address
First Line : 327 S K ST
Second Line :
City : TULARE
State : CA
Zip : 93274-5416
Country : US
Telephone Number : 559-688-2043
Fax Number : 559-685-5633
Provider Business Practice Location Address
First Line : 4411 E KINGS CANYON RD
Second Line :
City : FRESNO
State : CA
Zip : 93702-3604
Country : US
Telephone Number : 559-558-4051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 08/29/2018

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