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Organization
HMG UROLOGY PC
Active
Organization
HMG UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FELLER MD (PRESIDENT)
(760) 275-7919
Entity
Organization
Contact information
Practice address
74785 US HIGHWAY 111 STE 101, INDIAN WELLS, CA 92210-7129
(760) 776-8989
Mailing address
PO BOX 841163, LOS ANGELES, CA 90084-1163
(760) 776-8989
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/02/2022
Last updated
05/16/2024
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