Organization
INJURY AND WELLNESS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN DAVID HIXSON (MANAGER)
(805) 434-5633
Entity
Organization
Contact information
Practice address
292 POSADA LN, SUITE A, TEMPLETON, CA 93465-4054
(805) 434-5633
Mailing address
PO BOX 6026, ATASCADERO, CA 93423-6026
(805) 434-3563
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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