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Individual

DR. CANDICE NICOLE DUBOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1180 N INDIAN CANYON DR STE W200, PALM SPRINGS, CA 92262-4876
(760) 416-4511
(760) 416-4512
Mailing address
1180 N INDIAN CANYON DR STE W200, PALM SPRINGS, CA 92262-4876
(760) 416-4511
(760) 416-4512

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
33457
AL
207X00000X
Orthopaedic Surgery Physician
ME117189
FL
207XX0801X
Orthopaedic Trauma Physician
Primary
168477
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009511200
FL
Enumeration date
04/03/2008
Last updated
11/08/2020
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