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Individual

ISAAC M MINEHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
638 W DUARTE RD, SUITE 18, ARCADIA, CA 91007-7616
(626) 445-2371
(626) 445-2618
Mailing address
PO BOX 1464, ARCADIA, CA 91077-1464
(626) 445-2371
(626) 445-2618

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
A44356
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A44356
CA
208VP0014X
Interventional Pain Medicine Physician
A44356
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A443561
CA
Enumeration date
10/10/2005
Last updated
11/02/2020
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