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Organization
HERR-KOSTIC MEDICAL GROUP INC.
Active
Organization
HERR-KOSTIC MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELCIE A LOVE (OFFICE MANAGER)
(760) 772-2823
Entity
Organization
Contact information
Practice address
41-120 WASHINGTON ST, SUITE 101, BERMUDA DUNES, CA 92203
(760) 772-2823
(760) 772-2819
Mailing address
41-120 WASHINGTON ST, SUITE 101, BERMUDA DUNES, CA 92203
(760) 772-2823
(760) 772-2819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/26/2007
Last updated
04/24/2013
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