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Organization
IMPERIAL VALLEY WOMENS CLINIC
Active
Organization
IMPERIAL VALLEY WOMENS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY LINDA SLADE (OFFICE MANAGER)
(760) 353-3331
Entity
Organization
Contact information
Practice address
495 E ORANGE AVE, EL CENTRO, CA 92243-2744
(760) 353-3331
(760) 353-5085
Mailing address
495 E ORANGE AVE, EL CENTRO, CA 92243-2744
(760) 353-3331
(760) 353-5085
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
00A395830
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
00C503030
CA
207V00000X
Obstetrics & Gynecology Physician
00G486850
CA
207VX0000X
Obstetrics Physician
437781
CA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
529623
CA
Other
Enumeration date
12/26/2007
Last updated
10/22/2008
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