Organization
TOWNSEND SURGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN L TOWNSEND P.A.-C (PRESIDENT)
(951) 924-4700
Entity
Organization
Contact information
Practice address
12979 MORENO BEACH DR, SUITE 12303, MORENO VALLEY, CA 92555-4431
(760) 668-6776
(951) 924-4700
Mailing address
PO BOX 9367, MORENO VALLEY, CA 92552-9367
(760) 668-6776
(951) 924-1320
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PA167810
PTAN
CA
Enumeration date
09/16/2010
Last updated
09/16/2010
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