Organization · Type 2 NPI

Southern Tulare Medical Group

Hematology & Oncology Physician · Porterville, CA

NPI number 1295913358 Active

Practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Mailing address

PO Box 7096
Stockton, CA 95267-0096

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Hospitalist Physician 208M00000XNone listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1295913358

Southern Tulare Medical Group's National Provider Identifier is 1295913358, issued on Jan 31, 2008. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Porterville, CA. The record was last updated on Jan 31, 2008.