Individual
DR. DAVID J UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
414 E SAN BERNARDINO RD, COVINA, CA 91723-1704
(626) 915-5181
(626) 915-2313
Mailing address
PO BOX 5010, GLENDORA, CA 91740-0735
(626) 915-5181
(626) 331-2313
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G75458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G754580
—
CA
Enumeration date
02/07/2006
Last updated
10/21/2008
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