| NPI | 1639117864 |
|---|---|
| Former Legal Business Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Entity Type | Organization |
| Authorized Contact | MARIE LANGLEY Ipa Administrator 760-241-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-04-27 |