Organization
GEETHA PURI, MD. PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEETHA PURI MD (OWNER)
(760) 243-0464
Entity
Organization
Contact information
Practice address
12830 HESPERIA RD STE A, VICTORVILLE, CA 92395-7788
(760) 243-0464
(760) 243-5442
Mailing address
12830 HESPERIA RD STE A, VICTORVILLE, CA 92395-7788
(760) 243-0464
(760) 243-5442
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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