Organization
JOHN R FAULKNER MEDICAL DOCTOR PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNDI MARIE GONZALEZ (BILLER/OFFICE MANAGER)
(760) 773-0572
Entity
Organization
Contact information
Practice address
72780 COUNTRY CLUB DR # C302, RANCHO MIRAGE, CA 92270-4126
(760) 773-0572
Mailing address
72780 COUNTRY CLUB DR # C302, RANCHO MIRAGE, CA 92270-4126
(760) 773-0572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A70567
CA
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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