Doctor Name: | MR. MARNEL C. BARADI |
NPI Number: | 1033410238 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 21314 |
Business Practice Address: | 337 E Kings St Avenal, CA - 932041630 |
Business Phone Number: | 5593865200 |
Business Fax Number: | 5593861367 |
Mailing Address: | 1479 W Lacey Blvd, HANFORD |
State: | CA |
Postal Code: | 932305906 |
Phone Number: | 5595834617 |
Fax Number: | 5595834625 |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 21314 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |