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Dr. John De Geus, M.D.

Family Medicine in Ridgecrest, CA. Individual provider (NPI-1).

NPI number1386955177
StatusActive
Last updated in NPPESJan 15, 2015

Details

NPI
1386955177
Entity type
Individual (NPI-1)
Name
Dr. John De Geus
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 25, 2010
Last updated
Jan 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101252162VAYes

Practice location

1 Administration Cir
Bld 1403
Ridgecrest, CA 93555-6104

Phone 760-939-8000 · Fax 760-939-0400

Mailing address

1 Administration Cir
Bld 1403
Ridgecrest, CA 93555-6104

Phone 760-939-8000 · Fax 760-939-0400

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