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Organization

ELIOTT ROMERO, MD CORP

Active
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Organization

ELIOTT ROMERO, MD CORP

Active
Parent organization
ELIOTT ROMERO, MD FAMILY PRACTICE AND OBSTETRICS
Organization subpart
Yes

Provider details

NPI number
Legal business name
ELIOTT ROMERO, MD FAMILY PRACTICE AND OBSTETRICS
Authorized official
ELIOTT ROMERO M.D. (PROPRIETOR)
(760) 365-2308
Entity
Organization

Contact information

Practice address
57340 29 PALMS HWY, YUCCA VALLEY, CA 92284-2927
(760) 365-2308
(760) 365-7538
Mailing address
57340 29 PALMS HWY, YUCCA VALLEY, CA 92284-2927
(760) 365-2308
(760) 365-7538

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48383
CA
207VX0000X
Obstetrics Physician
G48383
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841463353
NPI SUBPART
CA
01
—
193200000X
TAXONOMY CODE
CA
01
—
1942361548
NPI INDIVIDUAL
CA
01
—
207VX0000X
TAXONOMY CODE
CA
Enumeration date
04/04/2008
Last updated
08/27/2010
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