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Organization

GRAPEVINE EMERGENCY PHYSICIANS MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN P. MARON M.D. (PRESIDENT)
(626) 447-0296
Entity
Organization

Contact information

Practice address
1001 N TUSTIN AVE, SANTA ANA, CA 92705-3502
(714) 953-3331
Mailing address
PO BOX 1429, ARCADIA, CA 91077-1429
(626) 447-0296
(626) 447-6057

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
12/16/2010
Last updated
07/04/2014
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