Poway Medical Clinic, Incorporated
NPI #1861727372 in Poway, California
Provider Information
- NPI Number
- 1861727372
- Entity Type
- Organization
- Organization Name
- Poway Medical Clinic, Incorporated
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 16, 2009
- Last Updated
- Oct 16, 2009
Practice Location
- Address
- 13525 MIDLAND RD
- City
- Poway
- State
- California
- ZIP Code
- 92064-4771
- Phone
- (858) 486-9100
Authorized Official
- Name
- DAVID THYGESON
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (858) 486-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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