Organization
ESCONDIDO UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE N RIFFLE MD (PRESIDENT)
(760) 745-7079
Entity
Organization
Contact information
Practice address
303 S JUNIPER ST, ESCONDIDO, CA 92025-4924
(760) 745-7079
(760) 745-6199
Mailing address
303 S JUNIPER ST, ESCONDIDO, CA 92025-4924
(760) 745-7079
(760) 745-6199
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0047580
—
CA
Enumeration date
04/04/2006
Last updated
10/16/2007
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