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Organization

DESERT VIEW MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH G. LUCERO M.D. (PRESIDENT)
(760) 921-3468
Entity
Organization

Contact information

Practice address
205 N 1ST ST STE A, BLYTHE, CA 92225-1777
(760) 921-3474
(760) 921-3471
Mailing address
205 N 1ST ST STE A, BLYTHE, CA 92225-1777
(760) 921-3474
(760) 921-3471

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G60508
CA

Other

Enumeration date
11/01/2011
Last updated
08/05/2013
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