Organization
MATTIE EVANS ALDERMAN FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEROY HARMON M.D. (MEDICAL DIRECTOR)
(760) 345-2696
Entity
Organization
Contact information
Practice address
41800 WASHINGTON ST, SUITE #110, BERMUDA DUNES, CA 92203-8150
(760) 345-2696
(760) 345-4961
Mailing address
41800 WASHINGTON ST, SUITE #110, BERMUDA DUNES, CA 92203-8150
(760) 345-2696
(760) 345-4961
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A27983
CA
Other
Enumeration date
08/31/2006
Last updated
04/29/2008
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