Prairie Medical Group Inc

NPI 1043356272 - Specialist - 174400000X

NPI Details
NPI 1043356272
Enumeration Date 01/29/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHRISTOPHER C CHRISTOPHER
Position PRESIDENT
Phone (310) 280-2700
Fax (310) 837-7334
Practice Location
10100 CULVER BLVD
CULVER CITY CA, 90231, US
Phone (310) 280-2700
Fax (310) 837-7334
Business Location
DEPARTMENT NO 2834
LOS ANGELES CA, 90084, US
Phone (310) 214-8677
Fax (310) 921-1718
Toxanomy
Taxonomy Code 174400000X
License State California
License Number 058963
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According to our database, Prairie Medical Group Inc NPI is 1043356272, taxonomy code is 174400000X and license number is 058963, license state is located at California. Prairie Medical Group Inc physically located at 10100 Culver Blvd, Culver City CA, 90231. NPI Number 1033115704 has the healthcare provider type.

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1043356272 NPI number is provided on an as is basis without warranty of any kind. 1043356272 is maintained by the National Plan & Provider Enumeration System. The contents of Prairie Medical Group Inc are for informational purposes only.