Susan Mackintosh D.O.

NPI 1073594131 - Family Medicine - 207Q00000X

NPI Details
NPI 1073594131
Gender Female
Enumeration Date 11/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
887 E 2ND ST
SUITE C
POMONA CA, 91766-2009, US
Phone (909) 865-2565
Fax (909) 865-2955
Business Location
887 E 2ND ST
SUITE C
POMONA CA, 91766-2009, US
Phone (909) 865-2565
Fax (909) 865-2955
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number 20A6467
Remove 1073594131 NPI Number
 

According to our database, Dr. Susan Mackintosh D.O. NPI is 1073594131, taxonomy code is 207Q00000X and license number is 20A6467, license state is located at California. Susan Mackintosh D.O. physically located at 887 E 2nd St, Pomona CA, 91766-2009. NPI Number Susan Mackintosh D.O. has the Individual type.

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1073594131 NPI number is provided on an as is basis without warranty of any kind. 1073594131 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Mackintosh D.O. are for informational purposes only.