Organization
DAVID SIZEMORE JR MD A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALDEN SIZEMORE M.D. (PRESIDENT)
(951) 929-2300
Entity
Organization
Contact information
Practice address
1030 SAINT JOHN PL, HEMET, CA 92543-4422
(951) 929-2300
(951) 929-0584
Mailing address
1030 SAINT JOHN PL, HEMET, CA 92543-4422
(951) 929-2300
(951) 929-0584
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G041592
CA
2086S0129X
Vascular Surgery Physician
G041592
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ32029Z
MEDICARE CORPORATION NUMB
CA
Enumeration date
10/19/2007
Last updated
08/05/2015
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