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Organization
PHILLIP WUNDER DO INC
Active
Organization
PHILLIP WUNDER DO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP WUNDER (OWNER)
(909) 860-8300
Entity
Organization
Contact information
Practice address
414 S PROSPECTORS RD, STE A, DIAMOND BAR, CA 91765-1615
(909) 860-8300
Mailing address
23441 GOLDEN SPRINGS DR, 533, DIAMOND BAR, CA 91765-2030
(909) 860-8300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A4967
CA
Other
Enumeration date
01/08/2009
Last updated
11/03/2010
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