PROVIDENT PRIMARY CARE INC

MERCED, CA
NPI1154785517
Entity TypeOrganization
Authorized ContactJERRY TIU
CEO
209-384-4400
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Additional Taxonomies207RP1001X Internal Medicine, Pulmonary Disease
213E00000X Podiatrist
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2016-04-11
Last Update Date2021-10-12
Business Address
PROVIDENT PRIMARY CARE INC
3349 G ST STE C
MERCED, CA 95340-0978
Phone number: 209-580-4638
Mailing Address
PROVIDENT PRIMARY CARE INC
3349 G ST STE C
MERCED, CA 95340-0978
Phone number: 209-384-4400