Organization
SOUTHWEST NEUROLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DAMICO (OFFICE MANAGER)
(760) 746-5813
Entity
Organization
Contact information
Practice address
661 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3003
(760) 746-5813
Mailing address
661 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3003
(760) 746-5813
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
02/01/2007
Last updated
12/31/2007
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