Organization
SANCLAIR CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C BRACKETT M.D. (PRESIDENT)
(760) 673-8252
Entity
Organization
Contact information
Practice address
69115 RAMON RD, STE F1512, CATHEDRAL CITY, CA 92234-9114
(760) 673-8252
Mailing address
69115 RAMON RD, STE F1512, CATHEDRAL CITY, CA 92234-9114
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A60080
CA
Other
Enumeration date
02/09/2009
Last updated
05/14/2009
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