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Organization
MATTHEW LOUIS MD INC
Active
Organization
MATTHEW LOUIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIS MCCULLON (AUTHORIZED OFFICIAL)
(760) 861-4966
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR., BANNAN BLDG - STE # 1109, RANCHO MIRAGE, CA 92270
(760) 834-3790
(760) 834-3791
Mailing address
255 E AVENIDA GRANADA UNIT 922, PALM SPRINGS, CA 92264-0438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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