Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Sep 30, 2010
License(s)
A136306 (CA), Q8814 (TX)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 440 RAYNOLDS ST # 51015 | El Paso, TX 79905-1613 | 915-215-4480 |
| LOCATION | 4801 ALBERTA AVE | El Paso, TX 79905-2707 | 915-215-5400 |
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