Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Feb 6, 2007
License(s)
md28649 (OR), 2002-0010 (NM), MD2010-0135 (NM)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 22 CORPORATE PLAZA DR | Newport Beach, CA 92660-7985 | 949-722-7038 |
| LOCATION | 22 CORPORATE PLAZA DR | Newport Beach, CA 92660-7985 | 949-722-7038 |
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