Thyra J. Endicott MD

NPI 1023039948 - Radiology - 2085R0001X

NPI Details
NPI 1023039948
Gender Female
Enumeration Date 07/23/2006
Last Updated 10/30/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
510 N PROSPECT AVE
SUITE 104
REDONDO BEACH CA, 90277-3028, US
Phone (310) 517-4785
Fax
Business Location
PO BOX 14556
TORRANCE CA, 90503-8556, US
Phone (310) 517-4785
Fax
Toxanomy
Taxonomy Code 2085R0001X
License State California
License Number A61316
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According to our database, Dr. Thyra J. Endicott MD NPI is 1023039948, taxonomy code is 2085R0001X and license number is A61316, license state is located at California. Thyra J. Endicott MD physically located at 510 N Prospect Ave, Redondo Beach CA, 90277-3028. NPI Number Thyra J. Endicott MD has the Individual type.

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1023039948 NPI number is provided on an as is basis without warranty of any kind. 1023039948 is maintained by the National Plan & Provider Enumeration System. The contents of Thyra J. Endicott MD are for informational purposes only.