Individual
DR. JEFFREY B MUNDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 434-0023
Mailing address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 434-0023
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A50612
CA
Other
Enumeration date
11/09/2005
Last updated
10/02/2024
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