Organization
CHILDREN'S CENTRAL COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MESSENGER (DIRECTOR OF OPERATIONS)
(888) 350-2911
Entity
Organization
Contact information
Practice address
2329 OAK PARK LN, SANTA BARBARA, CA 93105-4280
(888) 350-2911
Mailing address
3006 S MARYLAND PKWY, SUITE 505, LAS VEGAS, NV 89109-2218
(702) 697-0082
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
Other
Enumeration date
09/12/2008
Last updated
04/09/2009
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