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Organization
STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP
Active
Organization
STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PAUTZ DO DO (OWNER)
(760) 245-2663
Entity
Organization
Contact information
Practice address
18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
(760) 946-9990
(760) 946-9991
Mailing address
18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
(609) 469-9907
(760) 946-9991
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
21592
CA
207X00000X
Orthopaedic Surgery Physician
20A7163
CA
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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