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43500 Monterey Ave Palm Desert CA 92260-9305 | |
(760) 773-2586 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 43500 Monterey Ave, Palm Desert, California |
Authorized Official Name and Position | Todd J. Conger (HEAD TRAINER) |
Authorized Official Contact | 7607732586 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5050 Spring Valley Rd Dallas TX 75244-3995 Ph: (800) 555-9073 | 43500 Monterey Ave Palm Desert CA 92260-9305 Ph: (760) 773-2586 |
NPI Number | 1720497928 |
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Provider Enumeration Date | 08/13/2014 |
Last Update Date | 08/13/2014 |
Identifier | Type | State | Issuer |
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1720497928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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