Organization
INTERMOUNTAIN SURGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JO WRIGHT RNFA (REGISTERED NURSE)
(951) 256-8191
Entity
Organization
Contact information
Practice address
29396 GREEN SIDE CT, MURRIETA, CA 92563-5863
(801) 580-7104
(951) 256-8190
Mailing address
29396 GREEN SIDE CT, MURRIETA, CA 92563-5863
(801) 580-7104
(951) 256-8190
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
733544
CA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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