LARRY I. EMDUR, D.O., PHD.
Medical Practice at Reservoir Dr, San Diego, CA

License number
California 20A4940
Category
Medical Practice
Type
Specialist
Owner
Name: DR. LARRY I EMDUR D.O.
Title: PRESIDENT,OWNER
Phone: (619) 286-8803
Address
Address
5555 Reservoir Dr, San Diego, CA 92120
National Provider ID: 1326189671
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Larry I. Emdur, D.O., PH.D., A Medical Corporation

5555 Reservoir Dr, San Diego, CA 92120

Registration:
Sep 1, 1985
State ID:
01349957
Business type:
Articles of Incorporation
President:
Larry I. Emdur (President)

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