Organization
DOC INDUSTRIAL MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON-PAUL DARRON DUNNUM (CONSULTANT)
(858) 457-4717
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 107, SAN DIEGO, CA 92121-3022
(858) 457-4717
(858) 457-0470
Mailing address
4510 EXECUTIVE DR STE 107, SAN DIEGO, CA 92121-3022
(858) 457-4717
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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