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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