Mirage Medical Group

NPI #1528208758 in Rancho Mirage, California

Provider Information

NPI Number: 1528208758
Entity Type: Organization
Organization Name: Mirage Medical Group
Primary Specialty: Specialist
Enumeration Date: Feb 27, 2009
Last Updated: Feb 27, 2009

Practice Location

Address: 69844 HIGHWAY 111 STE K
Address 2: ONE HAWKEYE PARK
City: Rancho Mirage
State: California
ZIP Code: 92270-2849
Phone: (760) 770-4166

Authorized Official

Name: MR. ZORAN RUBAKOVICH
Title: DIRECTOR OF OPERATIONS
Phone: (760) 346-4003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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