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Organization
PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
Active
Organization
PRIMARY CRITICAL CARE LIMITED PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE T GIPE MD (PRESIDENT AND GENERAL PARTNER)
(818) 509-2222
Entity
Organization
Contact information
Practice address
624 E ELDER ST, FALLBROOK, CA 92028-3004
(760) 728-1191
Mailing address
PO BOX 998, NORTH HOLLYWOOD, CA 91603-0998
(818) 509-2222
(818) 761-3458
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G53318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0088730
—
CA
Enumeration date
04/18/2006
Last updated
02/28/2008
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