Organization
SOUTHWEST HEMATOLOGY ONCOLOGY MEDICAL GROUP
Active
Other names
Southwest Cancer Care Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
PAT A. DUNN (BUSINESS OFFICE MANAGAER)
(760) 737-2666
Entity
Organization
Contact information
Practice address
25485 MEDICAL CENTER DR STE 204, MURRIETA, CA 92562-6927
(951) 696-7632
(951) 696-3644
Mailing address
701 E GRAND AVE, ESCONDIDO, CA 92025-4466
(760) 737-2666
(760) 489-2311
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR008568
—
CA
Enumeration date
03/15/2007
Last updated
06/05/2008
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