St Jude Emergency Medical Group INC

NPI #1720190804 in Fullerton, California

Provider Information

NPI Number: 1720190804
Entity Type: Organization
Organization Name: St Jude Emergency Medical Group INC
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 31, 2006
Last Updated: Jun 4, 2024

Practice Location

Address: 101 E VALENCIA MESA DR
Address 2: EM DEPT
City: Fullerton
State: California
ZIP Code: 92835-3809
Phone: (949) 300-9287

Authorized Official

Name: DONALD J. GRECO, MD
Title: PRESIDENT
Phone: (949) 300-9287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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