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Organization
STEPHEN M DAMIANI, D.O., INC
Active
Organization
STEPHEN M DAMIANI, D.O., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN MARIO DAMIANI D.O. (CEO)
(760) 946-3366
Entity
Organization
Contact information
Practice address
18092 WIKA RD, STE 110, APPLE VALLEY, CA 92307-2132
(760) 946-3366
(760) 946-3866
Mailing address
18092 WIKA RD, STE 110, APPLE VALLEY, CA 92307-2132
(760) 946-3366
(760) 946-3866
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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