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Organization
FARO T. OWIESY, M.D., INC
Active
Organization
FARO T. OWIESY, M.D., INC
Active
Other names
CORONA DOCTORS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARO T. OWIESY M.D (MEDICAL DIRECTOR)
(951) 371-9500
Entity
Organization
Contact information
Practice address
802 MAGNOLIA AVE, SUITE 106, CORONA, CA 92879-3125
(951) 371-9500
(951) 371-9194
Mailing address
802 MAGNOLIA AVE, SUITE 106, CORONA, CA 92879-3104
(951) 371-9500
(951) 371-9194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87796
CA
Other
Enumeration date
07/02/2006
Last updated
12/11/2013
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