Organization
J. CONRAD GREENWALD M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE TINGLE (OFFICE MANAGER)
(760) 346-5656
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, SUITE K306, RANCHO MIRAGE, CA 92270-3221
(760) 346-5656
Mailing address
39000 BOB HOPE DR, SUITE K306, RANCHO MIRAGE, CA 92270-3221
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G34066
CA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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