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Organization
MEDICGAS, INC.
Active
Organization
MEDICGAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEER O THEOBALD M.D. (PRESIDENT)
(760) 989-0507
Entity
Organization
Contact information
Practice address
81812 DR CARREON BLVD, F, INDIO, CA 92201-5594
(760) 775-2225
(760) 775-2377
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 204-6747
(626) 396-0851
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A81737
CA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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