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685 Morro Avenue Morro Bay CA 93442-2266 | |
(805) 772-7313 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 685 Morro Avenue, Morro Bay, California |
Authorized Official Name and Position | Patrick Joseph Vaughan (PRESIDENT) |
Authorized Official Contact | 8057727313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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685 Morro Ave Morro Bay CA 93442-2266 Ph: (805) 772-7313 | 685 Morro Avenue Morro Bay CA 93442-2266 Ph: (805) 772-7313 |
NPI Number | 1922293729 |
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Provider Enumeration Date | 09/14/2007 |
Last Update Date | 09/19/2011 |
Identifier | Type | State | Issuer |
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1922293729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | G45794 (California) | Primary |
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