Pdw Md Inc

NPI 1043383144 - Internal Medicine - 207R00000X

NPI Details
NPI 1043383144
Enumeration Date 11/16/2006
Last Updated 11/04/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CONNIE CONNIE
Position OFFICE MGR
Phone (619) 718-9444
Fax (619) 718-9440
Practice Location
4060 FOURTH AVE
SUITE 100
SAN DIEGO CA, 92103-2120, US
Phone (619) 718-9444
Fax (619) 718-9440
Business Location
4060 FOURTH AVE
SUITE 100
SAN DIEGO CA, 92103-2120, US
Phone (619) 718-9444
Fax (619) 718-9440
Toxanomy
Taxonomy Code 207R00000X
License State California
License Number G77188
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According to our database, Pdw Md Inc NPI is 1043383144, taxonomy code is 207R00000X and license number is G77188, license state is located at California. Pdw Md Inc physically located at 4060 Fourth Ave, San Diego CA, 92103-2120. NPI Number 1033115704 has the healthcare provider type.

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1043383144 NPI number is provided on an as is basis without warranty of any kind. 1043383144 is maintained by the National Plan & Provider Enumeration System. The contents of Pdw Md Inc are for informational purposes only.