JP ANESTHESIOLOGY, INC
Osteopathic Medicine at Sand St, Victorville, CA

License number
California A86588
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: JOE PARK M.D.
Title: PRESIDENT
Phone: (760) 843-9679
Address
Address
15447 W Sand St, Victorville, CA 92392
National Provider ID: 1821186776
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JP ANESTHESIOLOGY, INC

Victorville, CA  -  Hesperia, CA

Registration:
Aug 31, 2004
Addresses:
15447 W Sand St, Victorville, CA 92392 (Physical)
16499 Desert Vis Ct, Hesperia, CA 92345
State ID:
C2664610
Business type:
Articles of Incorporation
President:
Joe Park (President)

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