MEDICARE: MR. JEAN A. PIGFORD PA-C

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	363A00000X	Physician Assistant		CA

General Provider Information

NPI Number	:	1487754909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEAN A. PIGFORD PA-C

Provider Business Mailing Address
First Line	:	2441 TEAKWOOD CT
Second Line	:
City	:	HANFORD
State	:	CA
Zip	:	93230-7230
Country	:	US
Telephone Number	:	559-584-2102
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 E D ST
Second Line	:
City	:	LEMOORE
State	:	CA
Zip	:	93245-9545
Country	:	US
Telephone Number	:	559-924-7711
Fax Number	:

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

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	07/08/2007

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