Organization
COACHELLA VALLEY RETINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE HARRISON MD (OWNER)
(760) 895-1993
Entity
Organization
Contact information
Practice address
72301 COUNTRY CLUB DR, 108, RANCHO MIRAGE, CA 92270-8007
(760) 895-1993
Mailing address
72301 COUNTRY CLUB DR, 108, RANCHO MIRAGE, CA 92270-8007
(760) 895-1993
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/07/2013
Last updated
11/25/2013
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