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Organization
INJURY AND WELLNESS MEDICAL GROUP, INC.
Active
Organization
INJURY AND WELLNESS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DAVID HIXSON (MANAGER)
(805) 434-5633
Entity
Organization
Contact information
Practice address
292 POSADA LN, SUITE A, TEMPLETON, CA 93465-4054
(805) 434-5633
Mailing address
PO BOX 6026, ATASCADERO, CA 93423-6026
(805) 434-3563
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
NULL
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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