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Organization

SEASIDE DOCTORS ON DUTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL MCMILLAN (CEO)
(831) 649-1000
Entity
Organization

Contact information

Practice address
1513 FREMONT BLVD, E1, SEASIDE, CA 93955-4319
(831) 899-1910
Mailing address
100 WILSON RD, 100, MONTEREY, CA 93940-7885
(831) 649-1000

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
07/22/2013
Last updated
07/29/2013
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