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Organization
SPA M MEDICAL CORPORATION
Active
Organization
SPA M MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS MILLER MD (OWNER)
(951) 694-4200
Entity
Organization
Contact information
Practice address
27520 YNEZ RD, C5, TEMECULA, CA 92591-4650
(951) 694-4200
Mailing address
27636 YNEZ RD, L7 NO 274, TEMECULA, CA 92591-5600
(951) 694-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A8981
CA
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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