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Organization

DESERT VALLEY MEDICAL GROUP, INC

Active
Parent organization
DESERT VALLEY MEDICAL GROUP, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DESERT VALLEY MEDICAL GROUP, INC
Authorized official
MARIE LANGLEY (ADMINISTRATOR)
(760) 241-8000
Entity
Organization

Contact information

Practice address
12351 MARIPOSA RD, VICTORVILLE, CA 92395-6013
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5795
(760) 241-8000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/19/2021
Last updated
05/19/2021
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