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Organization
M.R. DANFORTH, D.O., P.C.
Active
Organization
M.R. DANFORTH, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R DANFORTH D.O. (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
47111 MONROE ST, INDIO, CA 92201-6739
(760) 347-6191
Mailing address
14120 ALONDRA BLVD, SUITE C, SANTA FE SPRINGS, CA 90670-5820
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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