Provider Demographics
NPI:1336271832
Name:MILKIE-ANDREWS, MARY (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:MILKIE-ANDREWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21206
Mailing Address - Street 2:QUALITY MANAGEMENT
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93390-1206
Mailing Address - Country:US
Mailing Address - Phone:661-735-1710
Mailing Address - Fax:661-888-4841
Practice Address - Street 1:9500 STOCKDALE HWY
Practice Address - Street 2:STE 201
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3620
Practice Address - Country:US
Practice Address - Phone:661-327-1431
Practice Address - Fax:661-321-3286
Is Sole Proprietor?:No
Enumeration Date:2007-03-10
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA71348207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH73773Medicare UPIN