WETTSTEIN SAWAN MEDICAL GROUP INC NPI 1194772202

NPI Information

WETTSTEIN SAWAN MEDICAL GROUP INC is a general practice in Victorville, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WETTSTEIN SAWAN MEDICAL GROUP INC NPI is 1194772202. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12370 HESPERIA RD
SUITE 15
VICTORVILLE, CA
ZIP 92395-719
Phone: (760) 241-7773
Fax: (760) 241-7793

The provider's authorized official is Peggy Neal .
The authorized official title is Biller and has the following contact phone number (760) 241-7773.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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