Organization
JACK J DRUET, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK J DRUET M.D. (MEDICAL DIRECTOR)
(951) 506-9536
Entity
Organization
Contact information
Practice address
25495 MEDICAL CENTER DR, SUITE 102, MURRIETA, CA 92562-5963
(951) 506-9536
(951) 693-4631
Mailing address
43500 RIDGE PARK DR, SUITE 102, TEMECULA, CA 92590-3624
(951) 699-0303
(951) 699-1145
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G70999
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G70999
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC4371
RAILROAD MEDICARE GRP.
CA
Enumeration date
09/26/2007
Last updated
03/07/2023
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