PROVIDENCE MEDICAL GROUP

BAKERSFIELD, CA
NPI1194196832
Entity TypeOrganization
Authorized ContactMATTHEW TATE
Physician Assistant
805-748-1687
Organization Subpart ?No
Primary Taxonomy282N00000X General Acute Care Hospital
(Licence: CA  PA19685)
Enumeration Date2015-10-07
Last Update Date2015-10-07
Business Address
PROVIDENCE MEDICAL GROUP
1806 WADSWORTH AVENUE
BAKERSFIELD, CA 93311
Phone number: 805-748-1687
Mailing Address
PROVIDENCE MEDICAL GROUP
1806 WADSWORTH AVENUE
BAKERSFIELD, CA 93311
Phone number: 805-748-1687