Organization
LJR NEURO INTERVENTIONAL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H.B. MCCREIGHT M.D. (PRESIDENT)
(858) 454-4235
Entity
Organization
Contact information
Practice address
9888 GENESEE AVE, LA JOLLA, CA 92037-1205
(858) 626-6884
Mailing address
10150 SORRENTO VALLEY RD, SUITE 320, SAN DIEGO, CA 92121-1635
(858) 454-4235
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
06/25/2009
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