Organization
MICHAEL K KLEIN MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL K KLEIN MD (OWNER)
(760) 256-1761
Entity
Organization
Contact information
Practice address
555 S 7TH AVE, BARSTOW, CA 92311-3043
(760) 256-1761
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
612899700
US DEPT OF LABOR
CA
Enumeration date
03/14/2007
Last updated
12/05/2008
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