| Doc Industrial Medical Group Inc. | |
|
4510 Executive Dr Ste 107 San Diego CA 92121-3022 | |
| (858) 457-4717 | |
| (858) 457-0470 |
| Full Name | Doc Industrial Medical Group Inc. |
|---|---|
| Speciality | General Practice |
| Location | 4510 Executive Dr Ste 107, San Diego, California |
| Authorized Official Name and Position | Ron-paul Darron Dunnum (CONSULTANT) |
| Authorized Official Contact | 8584574717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc Industrial Medical Group Inc. 4510 Executive Dr Ste 107 San Diego CA 92121-3022 Ph: (858) 457-4717 | Doc Industrial Medical Group Inc. 4510 Executive Dr Ste 107 San Diego CA 92121-3022 Ph: (858) 457-4717 |
| NPI Number | 1922689496 |
|---|---|
| Provider Enumeration Date | 04/16/2021 |
| Last Update Date | 04/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922689496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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