| NPI | 1831621788 |
|---|---|
| Former Legal Business Name | FRESNO NEPHROLOGY MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | STEVE W SU Md 559-228-6600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2022-07-21 |