Whalio Doctors

NPI 1750562336

Prospice Medical Group Corporation

Organisation Neurological Surgery Physician Fresno, CA

Practice location

Address
4770 N Cedar Ave, Fresno, CA 93726-1065
Phone
(559) 226-6824
Mailing address
3065 Richmond Pkwy Suite 102, Richmond, CA 94806-5719

Authorised official

Name
Roger William Shortz
Title
Chief Executive Officer
Phone
(510) 932-6208

Registered specialties (5)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence C35999 (CA)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence G10280 (CA)
Orthopaedic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence A46453 (CA)
Physical Medicine & Rehabilitation Physician
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence A40212 (CA)
Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence A77502 (CA)

Registry record

NPI
1750562336
Entity type
Organization
NPI issued
23 Nov 2007
Record last updated
30 Mar 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.