Basic Information
| Provider Information | |||||||||
| NPI: | 1922762475 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | GREG WARNER, MD, INCORPORATED | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3750 W NICHOLAS AVE | ||||||||
| Address2: | |||||||||
| City: | VISALIA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932914154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5599012233 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1303 W HERNDON AVE | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932703309 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5594503000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/29/2021 | ||||||||
| LastUpdateDate: | 10/29/2021 | ||||||||
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| AuthorizedOfficialLastName: | WARNER | ||||||||
| AuthorizedOfficialFirstName: | GREGORY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 5599012233 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
| NPICertificationDate: | 10/11/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QS1200X | N | Ambulatory Health Care Facilities | Clinic/Center | Sleep Disorder Diagnostic | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.