Crystal Marie Ives Tallman
Emergency Physician Critical Care Medicine
2823 Fresno St
Fresno
, California 93721-1324
Crystal Marie Ives Tallman
Emergency Physician Critical Care Medicine
2823 Fresno St
Fresno
, California 93721-1324
(559) 443-2681
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About
Features
Specialties
- Emergency Physician
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Crystal Marie Ives Tallman
- 2625 E Divisadero St
- Fresno, CA
- Zip : 93721-1431
- Fax : (559) 443-2681
- Phone : (559) 443-2682
Second Address
- Crystal Marie Ives Tallman
- 2823 Fresno St
- Fresno, CA
- Zip : 93721-1324
- Phone : (559) 499-6440
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Is Crystal Marie Ives Tallman a sole practitioner?
Is Crystal Marie Ives Tallman accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | A127520 | CA |
| N | 207RC0200X | Critical Care Medicine | A127520 | CA |
National Provider Identifier
| NPI | 1063770824 |
|---|---|
| Provider Name | Crystal Marie Ives Tallman |
| First Address | Fresno, CA 93721-1431 |
| Second Address | Fresno, CA 93721-1324 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2012 |
| Last Update Date | 28/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.