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NPI Code Detail

MEDICARE: MARY POOR HILL MD

MEDICARE: MARY POOR HILL 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
1207Q00000XFamily Medicine PhysicianA53535CA

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 : 1356335053
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY POOR HILL MD
Provider Business Mailing Address
First Line : PO BOX 28949
Second Line :
City : FRESNO
State : CA
Zip : 93729-8949
Country : US
Telephone Number : 559-228-4200
Fax Number : 559-224-3920
Provider Business Practice Location Address
First Line : 7407 N CEDAR AVE
Second Line : SUITE 102
City : FRESNO
State : CA
Zip : 93720-3637
Country : US
Telephone Number : 559-451-0893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 02/25/2020

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Directions to “ MARY POOR HILL MD” Practice Location

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