Organization · NPI-2
3 Musketeers Medical Group, A Medical Corporation
Internal Medicine · Fresno, CA
NPI number1306561030
StatusActive
Last updated in NPPESNov 21, 2022
Details
- NPI
- 1306561030
- Entity type
- Organization (NPI-2)
- Legal business name
- 3 Musketeers Medical Group, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Oct 5, 2022
- Certification date
- Nov 21, 2022
- Last updated
- Nov 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
7455 N Fresno St Ste 202Fresno, CA 93720-2481
Phone 559-942-1223
Mailing address
7455 N Fresno St Ste 202Fresno, CA 93720-2481
Phone 559-942-1223
Authorized official
Jiakun Wang
President
6154239545
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