Nowysz Regenerative Medicine Pc | |
55887 Yucca Trl Yucca Valley CA 92284-2546 | |
(760) 365-0804 | |
Not Available |
Full Name | Nowysz Regenerative Medicine Pc |
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Speciality | Family Medicine |
Location | 55887 Yucca Trl, Yucca Valley, California |
Authorized Official Name and Position | Christian Reichardt (MANAGER) |
Authorized Official Contact | 3106008872 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Nowysz Regenerative Medicine Pc 55887 Yucca Trl Yucca Valley CA 92284-2546 Ph: (760) 365-0804 | Nowysz Regenerative Medicine Pc 55887 Yucca Trl Yucca Valley CA 92284-2546 Ph: (760) 365-0804 |
NPI Number | 1154970317 |
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Provider Enumeration Date | 09/10/2019 |
Last Update Date | 11/30/2020 |
Identifier | Type | State | Issuer |
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1154970317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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