Maily Tara Creamer D.O.

NPI 1417164450 - Internal Medicine - 207R00000X

NPI Details
NPI 1417164450
Gender Female
Enumeration Date 05/17/2007
Last Updated 06/26/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
510 SUPERIOR AVE
STE 200B
NEWPORT BEACH CA, 92663-3663, US
Phone (949) 791-3001
Fax (949) 791-3096
Business Location
510 SUPERIOR AVE
STE 200B
NEWPORT BEACH CA, 92663-3663, US
Phone (949) 791-3001
Fax (949) 791-3096
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number OS11017
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According to our database, Dr. Maily Tara Creamer D.O. NPI is 1417164450, taxonomy code is 207R00000X and license number is OS11017, license state is located at Florida. Maily Tara Creamer D.O. physically located at 510 Superior Ave, Newport Beach CA, 92663-3663. NPI Number Maily Tara Creamer D.O. has the Individual type.

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1417164450 NPI number is provided on an as is basis without warranty of any kind. 1417164450 is maintained by the National Plan & Provider Enumeration System. The contents of Maily Tara Creamer D.O. are for informational purposes only.