| Imperial Valley Hospitalist Inc | |
|
207 W Legion Rd Brawley CA 92227-7780 | |
| (760) 344-7976 | |
| (760) 344-7106 |
| Full Name | Imperial Valley Hospitalist Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 207 W Legion Rd, Brawley, California |
| Authorized Official Name and Position | Michael N Krutzik (CEO) |
| Authorized Official Contact | 7603447976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Hospitalist Inc 605 W H St Ste 110 Brawley CA 92227-2250 Ph: (760) 344-7976 | Imperial Valley Hospitalist Inc 207 W Legion Rd Brawley CA 92227-7780 Ph: (760) 344-7976 |
| NPI Number | 1316446644 |
|---|---|
| Provider Enumeration Date | 02/01/2018 |
| Last Update Date | 02/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316446644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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