Individual
SEAN KIRBY DEGMETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4397
Mailing address
8947 REDWATER DR, ANTELOPE, CA 95843-4981
(916) 709-1102
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A146573
CA
Other
Enumeration date
05/06/2015
Last updated
12/22/2023
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