Organization
ASPEN TOXICOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN E MUTTER (CIO)
(949) 608-1724
Entity
Organization
Contact information
Practice address
1524 BROOKHOLLOW DR, SUITE 7, SANTA ANA, CA 92705-5426
(949) 608-1724
(949) 743-5862
Mailing address
1524 BROOKHOLLOW DRIVE, SUITE 7, SANTA ANA, CA 92705
(949) 608-1724
(949) 743-5862
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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