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Individual

JAMES GARETH MISSLBECK

Active
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Individual

JAMES GARETH MISSLBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G51378
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G513780
CA
Enumeration date
05/08/2006
Last updated
03/21/2019
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