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Organization

ELIZABETH J DEMAGNO, M.D., APC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH J DEMAGNO MD (PRESIDENT)
(760) 256-2181
Entity
Organization

Contact information

Practice address
705 E VIRGINIA WAY, SUITE A, BARSTOW, CA 92311-3955
(760) 256-2181
Mailing address
705 E VIRGINIA WAY, SUITE A, BARSTOW, CA 92311-3955
(760) 256-2181

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A47902
CA

Other

Enumeration date
07/23/2012
Last updated
04/11/2016
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