Organization
ANTELOPE VALLEY LUNG INSTITUTE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP B DAMLE M.D. (PARTNER)
(661) 945-8717
Entity
Organization
Contact information
Practice address
1615 N DOWNS ST, SUITE A, RIDGECREST, CA 93555-2465
(661) 945-8717
(661) 945-1118
Mailing address
1331 W AVENUE J, SUITE 101, LANCASTER, CA 93534-2942
(661) 945-8717
(661) 945-1118
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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