Organization
DESERT COMPREHENSIVE UROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R. FAULKNER M.D. (OWNER)
(760) 346-4299
Entity
Organization
Contact information
Practice address
72-780 COUNTY CLUB DR., 302-C, RANCHO MIRAGE, CA 92270
(760) 346-4299
(760) 776-4042
Mailing address
72-780 COUNTY CLUB DR., 302-C, RANCHO MIRAGE, CA 92270
(760) 346-4299
(760) 776-4042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G62490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G624900
—
CA
Enumeration date
09/27/2005
Last updated
03/04/2010
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