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Organization
VIGILANT MEDICAL, INC.
Active
Organization
VIGILANT MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A. WAXER M.D. (OWNER)
(209) 473-6555
Entity
Organization
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(209) 473-6555
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G53093
CA
Other
Enumeration date
10/24/2006
Last updated
11/08/2013
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