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Organization

COLLEGE OF THE DESERT

Active
Other names
COD Sports Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TODD J. CONGER (HEAD TRAINER)
(760) 773-2586
Entity
Organization

Contact information

Practice address
43500 MONTEREY AVE, PALM DESERT, CA 92260-9305
(760) 773-2586
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
(800) 555-9073
(972) 367-3452

Taxonomy

Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary

Other

Enumeration date
08/13/2014
Last updated
08/13/2014
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