| NPI | 1104062371 |
|---|---|
| Doing Business As | OMG THURSTON MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE Director Of Operations 858-625-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OR MD15590) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |