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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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