John Geren Nichols, MD
in Fresno, CA. Individual provider (NPI-1).
NPI number1114005246
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1114005246
- Entity type
- Individual (NPI-1)
- Name
- John Geren Nichols
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | G35186 | CA | Yes |
Practice location
7300 N Fresno StFresno, CA 93720-2941
Phone 559-448-4500
Mailing address
1800 Harrison St Fl 7Oakland, CA 94612-3429
Phone 510-625-6262
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