| Alliance Desert Physicians | |
|
17259 Jasmine St Suite B Victorville CA 92395-7787 | |
| (760) 241-4929 | |
| Not Available |
| Full Name | Alliance Desert Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 17259 Jasmine St, Victorville, California |
| Authorized Official Name and Position | Dennis P. Flynn (VICE PRESIDENT OF MEDICAL AFFAIRS) |
| Authorized Official Contact | 9093354101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Desert Physicians 17259 Jasmine St Suite B Victorville CA 92395-7787 Ph: (760) 241-4929 | Alliance Desert Physicians 17259 Jasmine St Suite B Victorville CA 92395-7787 Ph: (760) 241-4929 |
| NPI Number | 1740505742 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740505742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54985 (California) | Primary |
| 208000000X | Pediatrics | A74104 (California) | Secondary |
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