Organization
DISC PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT S BRAY M.D. (PROVIDER)
(310) 881-3688
Entity
Organization
Contact information
Practice address
13160 MINDANAO WAY, SUITE 170, MARINA DEL REY, CA 90292-6358
(310) 881-3688
Mailing address
13160 MINDANAO WAY, SUITE 170, MARINA DEL REY, CA 90292-6358
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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