| Poway Medical Clinic, Incorporated | |
|
13525 Midland Rd Poway CA 92064-4771 | |
| (858) 486-9100 | |
| (858) 486-9101 |
| Full Name | Poway Medical Clinic, Incorporated |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13525 Midland Rd, Poway, California |
| Authorized Official Name and Position | David Thygeson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8584869100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poway Medical Clinic, Incorporated 13525 Midland Rd Poway CA 92064-4771 Ph: (858) 486-9100 | Poway Medical Clinic, Incorporated 13525 Midland Rd Poway CA 92064-4771 Ph: (858) 486-9100 |
| NPI Number | 1861727372 |
|---|---|
| Provider Enumeration Date | 10/16/2009 |
| Last Update Date | 10/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861727372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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