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Organization

J DUNCKELMEYER MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORG DUNCKELMEYER MD (PRESIDENT)
(702) 768-5875
Entity
Organization

Contact information

Practice address
681 S PARKER ST STE 150, ORANGE, CA 92868-4761
(714) 744-0900
(714) 744-9232
Mailing address
22 OLIVE RIDGE DR, LAS VEGAS, NV 89135-7892
(702) 768-5875

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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