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Organization
PRIME MADING ANESTHESIA, INC.
Active
Organization
PRIME MADING ANESTHESIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C MADING (PRESIDENT.)
(949) 212-3194
Entity
Organization
Contact information
Practice address
4032 CALLE LOUISA, SAN CLEMENTE, CA 92672-4511
(949) 212-3194
Mailing address
4032 CALLE LOUISA, SAN CLEMENTE, CA 92672-4511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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