Organization
JOHN D. STANSELL, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DEE STANSELL M.D. (PRESIDENT)
(760) 778-6769
Entity
Organization
Contact information
Practice address
1751 N SUNRISE WAY, SUITE E, PALM SPRINGS, CA 92262-3408
(760) 327-2277
(760) 325-4031
Mailing address
68135 CONCEPCION RD, CATHEDRAL CITY, CA 92234-3637
(760) 778-6769
(760) 325-4031
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2818892
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7096
MEDICARE RAILROAD
—
Enumeration date
07/11/2006
Last updated
08/14/2008
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