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Organization

W DODSON CREIGHTON M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM DODSON CREIGHTON M.D. (ALLERGY SPECIALISTS)
(760) 344-7412
Entity
Organization

Contact information

Practice address
197 W LEGION RD, SUITE #200, BRAWLEY, CA 92227-7727
(760) 344-7412
(760) 344-9956
Mailing address
197 W LEGION RD, SUITE # 200, BRAWLEY, CA 92227-7727
(760) 344-7412
(760) 344-9956

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G27744
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
G27744
CA
Enumeration date
03/07/2008
Last updated
11/04/2008
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