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Legacy Md Medical Group Inc
General Practice Physician in Calexico, California
NPI 1073210753

Legacy Md Medical Group Inc is a General Practice Physician based in Calexico, CA. Legacy Md Medical Group Inc practices in Calexico, CA. The NPI Number for Legacy Md Medical Group Inc is 1073210753 and holds a License No. (California).

The current practice location address for Legacy Md Medical Group Inc is 222 E Cole Blvd Ste C, Calexico, CA and can be reached out via phone at 760-550-1685 and via fax at 888-631-5150.

Location: 222 E Cole Blvd Ste C, Calexico, CA, 92231-3211
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073210753
Provider Name
Legacy Md Medical Group Inc
Credential
Provider Entity Type
Organization
Address
222 E Cole Blvd Ste C, Calexico, CA, 92231-3211
Phone Number
760-550-1685
Fax Number
888-631-5150
Provider Enumeration Date
02/13/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043248719 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
222 E Cole Blvd Ste C
City
Calexico
State
California
Zip
92231-3211
Phone Number
760-550-1685
Fax Number
888-631-5150
person
Provider Business Mailing Address Details
Address
222 E Cole Blvd Ste C
City
Calexico
State
California
Zip
92231-3211
Phone Number
760-550-1685
Fax Number
888-631-5150
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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