Organization
DESERT OPHTHALMOLOGY MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE FRANKLIN GOLDBAN MD (PRACTICE OWNER)
(760) 320-8497
Entity
Organization
Contact information
Practice address
72650 FRED WARING DR STE 109, PALM DESERT, CA 92260-5008
(760) 776-8600
Mailing address
72650 FRED WARING DR STE 109, PALM DESERT, CA 92260-5008
(760) 776-8600
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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