Organization
JEFFREY B MUNDORF, MD, INC.
Active
Organization
JEFFREY B MUNDORF, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY B MUNDORF MD (PHYSICIAN)
(805) 549-0784
Entity
Organization
Contact information
Practice address
1551 BISHOP ST, SUITE 230, SAN LUIS OBISPO, CA 93401-4635
(805) 549-0784
(805) 786-4220
Mailing address
1551 BISHOP ST, SUITE 230, SAN LUIS OBISPO, CA 93401-4635
(805) 549-0784
(805) 786-4220
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
12/08/2010
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