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Organization
STEVEDORES PHYSICIANS GROUP A PC
Active
Organization
STEVEDORES PHYSICIANS GROUP A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL KRYNEN (SECRETARY)
(310) 549-4999
Entity
Organization
Contact information
Practice address
123 E F ST, SUITE H, WILMINGTON, CA 90744-5817
(310) 549-4999
(310) 549-6942
Mailing address
123 E F ST, SUITE H, WILMINGTON, CA 90744-5817
(310) 549-4999
(310) 549-6942
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A71878
CA
Other
Enumeration date
12/02/2009
Last updated
04/20/2010
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