Provider Demographics
NPI:1063240489
Name:SIERRA PACIFIC ARTHRITIS & RHEUMATOLOGY CENTERS
Entity type:Organization
Organization Name:SIERRA PACIFIC ARTHRITIS & RHEUMATOLOGY CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:WATROUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-280-3434
Mailing Address - Street 1:5315 W HILLSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5118
Mailing Address - Country:US
Mailing Address - Phone:559-732-9900
Mailing Address - Fax:559-623-9267
Practice Address - Street 1:5315 W HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5118
Practice Address - Country:US
Practice Address - Phone:559-732-9900
Practice Address - Fax:559-623-9267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty