Organization
DONALD M EHMAN M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS THETFORD (CFO, CHIEF FINANCIAL OFFICER)
(760) 344-7750
Entity
Organization
Contact information
Practice address
197 W LEGION RD STE 300, BRAWLEY, CA 92227-7728
(760) 344-7750
(760) 344-1410
Mailing address
PO BOX 1300, BRAWLEY, CA 92227-1300
(760) 344-7750
(760) 344-1410
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A17408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ77193Z
—
CA
Enumeration date
01/03/2007
Last updated
08/22/2020
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