Organization
ALLIANCE DESERT PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS P. FLYNN M.D. (VICE PRESIDENT OF MEDICAL AFFAIRS)
(909) 335-4101
Entity
Organization
Contact information
Practice address
17259 JASMINE ST, SUITE B, VICTORVILLE, CA 92395-7787
(760) 241-4929
Mailing address
17259 JASMINE ST, SUITE B, VICTORVILLE, CA 92395-7787
(760) 241-4929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54985
CA
208000000X
Pediatrics Physician
A74104
CA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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