PRAIRIE MEDICAL GROUP INC

SANTA MONICA, CA
NPI1386790145
Entity TypeOrganization
Authorized ContactCHRISTOPHER C CHIDI
President
310-214-8677
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  119553)
Enumeration Date2007-01-26
Last Update Date2020-08-22
Business Address
PRAIRIE MEDICAL GROUP INC
2825 SANTA MONICA BLVD SUITE 301
SANTA MONICA, CA 90404
Phone number: 310-082-9313
Mailing Address
PRAIRIE MEDICAL GROUP INC
DEPARTMENT NO 2834
LOS ANGELES, CA 90084
Phone number: 310-214-8677
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