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Organization
JENNIFER A DOWALTER MD A PROFESSIONAL CORPORATION
Active
Organization
JENNIFER A DOWALTER MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER H DOWALTER M.D. (SOLE OWNER)
(949) 292-4082
Entity
Organization
Contact information
Practice address
15630 18TH AVE, CLEARLAKE, CA 95422-9336
(702) 453-3799
(702) 453-5741
Mailing address
PO BOX 105, MOUNTAIN CENTER, CA 92561-0105
(702) 453-3799
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A96391
CA
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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