Organization
SOUTHWEST PROFESSIONAL MEDICAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES TAYLOR (PRESIDENT)
(760) 946-5177
Entity
Organization
Contact information
Practice address
17868 HWY 18 #329, APPLE VALLEY, CA 92307
(760) 946-5177
(760) 946-5133
Mailing address
17868 HWY 18 #329, APPLE VALLEY, CA 92307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
C38699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C386992
—
CA
Enumeration date
09/05/2007
Last updated
06/25/2008
Update your record
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