Organization · Type 2 NPI
Dynamic Integrative Health PC
General Practice Physician · Fresno, CA
NPI number
1821462904
Active
Practice location
1382 E Alluvial Ave Ste 106
Fresno, CA 93720-2699
Fax (559) 432-9701
Mailing address
1382 E Alluvial Ave, Suite 106
Fresno, CA 93720-2699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | DC32064 |
| Chiropractor | 111N00000X | DC29486 |
| General Practice Physician Primary | 208D00000X | A32806 (CA) |
| Nurse Practitioner | 363L00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1821462904
Dynamic Integrative Health PC's National Provider Identifier is 1821462904, issued on Nov 30, 2015. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fresno, CA. The record was last updated on Jan 22, 2016.