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Organization
PACIFIC GROVE FAMILY MEDICINE, INC.
Active
Organization
PACIFIC GROVE FAMILY MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIOT STUART LIGHT M.D. (PRESIDENT)
(831) 649-1011
Entity
Organization
Contact information
Practice address
621 FOREST AVE, PACIFIC GROVE, CA 93950-4264
(831) 649-1011
(831) 373-8201
Mailing address
621 FOREST AVE, PACIFIC GROVE, CA 93950-4264
(831) 649-1011
(831) 373-8201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2012
Last updated
07/13/2012
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