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SUSAN C TELL
2755 HERNDON AVE CLOVIS CA 936116800
SUSAN C TELL is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1366656563. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3476580051. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is COMMUNITY REGIONAL ANESTHESIA MEDICAL GROUP, INC.. The address is 2755 HERNDON AVE, , CLOVIS, CA, 936116800. The zip code is 936116800.
|Nation Provider ID||1366656563|
|PAC ID by PECOS||3476580051|
|Professional Enrollment ID||I20050726000259|
|Name||SUSAN C TELL|
|Medical School Name||OTHER|
|Primary Specialty||CERTIFIED REGISTERED NURSE ANESTHETIST|
|All secondary specialties|
|Organization Name||COMMUNITY REGIONAL ANESTHESIA MEDICAL GROUP, INC.|
|Group Practice PAC ID||5496857005|
|Number of Group Practice members||46|
|Address||2755 HERNDON AVE, , CLOVIS, CA, 936116800|
|Hospital affiliation LBN||FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER|