| Jeffrey B Mundorf, Md, Inc. | |
|
1551 Bishop St Suite 230 San Luis Obispo CA 93401-4635 | |
| (805) 549-0784 | |
| (805) 786-4220 |
| Full Name | Jeffrey B Mundorf, Md, Inc. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1551 Bishop St, San Luis Obispo, California |
| Authorized Official Name and Position | Jeffrey B Mundorf (PHYSICIAN) |
| Authorized Official Contact | 8055490784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey B Mundorf, Md, Inc. 1551 Bishop St Suite 230 San Luis Obispo CA 93401-4635 Ph: (805) 549-0784 | Jeffrey B Mundorf, Md, Inc. 1551 Bishop St Suite 230 San Luis Obispo CA 93401-4635 Ph: (805) 549-0784 |
| NPI Number | 1831236306 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 12/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831236306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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