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Organization
PIMG; A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
PIMG; A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Centre for Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
STUART NATHAN GRAHAM MD (PRESIDENT OF BOARD)
(858) 613-8900
Entity
Organization
Contact information
Practice address
1236 MAIN ST, RAMONA, CA 92065-2125
(760) 789-5160
Mailing address
PO BOX 28199, SAN DIEGO, CA 92198-0199
(858) 613-8900
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
05/09/2006
Last updated
07/02/2009
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