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DR. ROBERT THOMAS ENSOM M.D.

Psychiatry >> Psychiatry & Neurology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1265549588

Individual Registrant:
DR. ROBERT THOMAS ENSOM M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
40 E. MINARETS AVE  PINEDALE, CA 93650 US
Tel: 559-436-0482  Fax: 559-436-4650

Contact information for business:
40 E MINARETS AVE  FRESNO, CA 93650-1239 US
Tel: 559-436-0482  Fax: 559-436-4650

Registration Information:
NPI: 1265549588
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2084P0800XAllopathic & Osteopathic Physicians
Psychiatry & Neurology
Psychiatry
CAG45247

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
NPI1265549588CA01




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