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1992292965
DOWNRIVER, PC
FAIR OAKS, CA
NPI
1992292965
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Entity Type
Organization
Authorized Contact
TYLER G SMITH
Sole Mbr
800-310-7334
Organization Subpart ?
No
Primary Taxonomy
204R00000X Electrodiagnostic Medicine
Enumeration Date
2018-04-16
Last Update Date
2019-04-10
Business Address
DOWNRIVER, PC
3906 EDGEVALE CT
FAIR OAKS, CA 95628-7612
Phone number: 972-412-5299
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Mailing Address
DOWNRIVER, PC
DEPT. 880231 PO BOX 29650
PHOENIX, AZ 85038-9650
Phone number: 972-412-5299
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