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Organization

ASPEN MEDICAL CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WAHID MIDOU M.D. (OWNER)
(760) 240-5044
Entity
Organization

Contact information

Practice address
12368 WINESAP RD, APPLE VALLEY, CA 92308-5143
(760) 240-5044
(760) 240-5119
Mailing address
12368 WINESAP RD, APPLE VALLEY, CA 92308-5143
(760) 240-5044
(760) 240-5119

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A79778
CA

Other

Enumeration date
07/26/2006
Last updated
05/28/2008
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