| Doctor Name: | MARC ZOLLA TALISMAN |
| NPI Number: | 1538424676 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A24315 |
| Business Practice Address: | 900 Quebec Ave Corcoran, CA - 932129715 |
| Business Phone Number: | 5599927100 |
| Business Fax Number: | |
| Mailing Address: | 43794 Oak Dr, THREE RIVERS |
| State: | CA |
| Postal Code: | 932719779 |
| Phone Number: | 5595616805 |
| Fax Number: | |
| NPI Enumeration Date: | 07/04/2012 |
| NPI Last Update Date: | 07/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2400X |
| License Number: | A24315 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Prison Health |
| Taxonomy Definition: | |