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Organization

LA QUINTA EAR NOSE & THROAT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC ANTHONY NASH M.D. (PRESIDENT / OWNER)
(760) 771-4242
Entity
Organization

Contact information

Practice address
78370 HIGHWAY 111 STE 160, LA QUINTA, CA 92253-2623
(760) 771-4242
(760) 691-2952
Mailing address
PO BOX 6119, LA QUINTA, CA 92248-6119
(760) 771-4242
(760) 771-4294

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G70770
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538124250
NPI FOR ERIC NASH,MD
CA
Enumeration date
08/09/2006
Last updated
01/30/2019
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