Individual
DR. JOHN R DESNOYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(909) 652-2811
Mailing address
FILE 57351, LOS ANGELES, CA 90074-0001
(800) 818-5438
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G81907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G819070
BLUE SHIELD
—
05
—
00G819070
—
CA
01
—
G81907
BLUE CROSS
—
Enumeration date
06/10/2006
Last updated
07/21/2009
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