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Organization

EMERGENCY MEDICINE PHYSICIAN PARTNERS OF RANCHO MIRAGE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID C PACKO MD (PRESIDENT)
(330) 493-4443
Entity
Organization

Contact information

Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 837-8014
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 451-4035

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346541307
CA
Enumeration date
11/08/2010
Last updated
01/14/2013
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