Organization
STELLAR FAMILY AND OCCUPATIONAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PAUTZ DO DO (OWNER)
(760) 245-2663
Entity
Organization
Contact information
Practice address
18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
(760) 946-9990
(760) 946-9991
Mailing address
18031 US HIGHWAY 18 STE A, APPLE VALLEY, CA 92307-2152
(609) 469-9907
(760) 946-9991
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
21592
CA
207X00000X
Orthopaedic Surgery Physician
20A7163
CA
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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