Rio Bravo Family Medicine Inc | |
2601 Oswell St Suite 101 Bakersfield CA 93306-3156 | |
(661) 872-1000 | |
(661) 873-8003 |
Full Name | Rio Bravo Family Medicine Inc |
---|---|
Speciality | Family Medicine |
Location | 2601 Oswell St, Bakersfield, California |
Authorized Official Name and Position | David Michael Moore (PRESIDENT) |
Authorized Official Contact | 6618721000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rio Bravo Family Medicine Inc Po Box 60185 Bakersfield CA 93386-0185 Ph: (661) 872-1000 | Rio Bravo Family Medicine Inc 2601 Oswell St Suite 101 Bakersfield CA 93306-3156 Ph: (661) 872-1000 |
NPI Number | 1033440003 |
---|---|
Provider Enumeration Date | 01/14/2010 |
Last Update Date | 06/11/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033440003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G54566 (California) | Primary |
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