Kip Mcgooden R.D.O.

NPI 1114089943 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1114089943
Gender Male
Enumeration Date 12/15/2006
Last Updated 08/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
783 RIO DEL MAR BLVD STE 37
APTOS CA, 95003-4700, US
Phone (831) 688-1516
Fax
Business Location
783 RIO DEL MAR BLVD
STE 37
APTOS CA, 95003-4771, US
Phone (831) 688-1516
Fax
Toxanomy
Taxonomy Code 156FX1800X
License State California
License Number 2717
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According to our database, Mr. Kip Mcgooden R.D.O. NPI is 1114089943, taxonomy code is 156FX1800X and license number is 2717, license state is located at California. Kip Mcgooden R.D.O. physically located at 783 Rio Del Mar Blvd Ste 37, Aptos CA, 95003-4700. NPI Number Kip Mcgooden R.D.O. has the Individual type.

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1114089943 NPI number is provided on an as is basis without warranty of any kind. 1114089943 is maintained by the National Plan & Provider Enumeration System. The contents of Kip Mcgooden R.D.O. are for informational purposes only.