Individual
DAVID WOLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 PORTO CIELO CT, RANCHO MIRAGE, CA 92270
(760) 636-4195
Mailing address
12 PORTO CIELO CT, RANCHO MIRAGE, CA 92270-3220
(760) 636-4195
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22139
CA
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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