Provider First Line Business Practice Location Address:
5000 PHYSICIANS BLVD
Provider Second Line Business Practice Location Address:
STE 100
Provider Business Practice Location Address City Name:
BAKERSFIELD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93301-5837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
661-215-1500
Provider Business Practice Location Address Fax Number:
661-215-1523
Provider Enumeration Date:
06/22/2005