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JOHN D AMAR MD

Otolaryngic Allergy >> Otolaryngology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912975772

Individual Registrant:
 JOHN D AMAR MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
15247 ELEVENTH ST STE 200  VICTORVILLE, CA 92395-3727 US
Tel: 760-245-8645  Fax: 760-245-6798

Contact information for business:
15247 ELEVENTH ST STE 200  VICTORVILLE, CA 92395-3727 US
Tel: 760-245-8645  Fax: 760-245-6798

Registration Information:
NPI: 1912975772
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207YX0602XAllopathic & Osteopathic Physicians
Otolaryngology
Otolaryngic Allergy
CAA30230
Y207Y00000XAllopathic & Osteopathic Physicians
Otolaryngology
CAA30230

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELD GROUPZZZ37372CA01
RAILROAD MEDICARE756041862CA01




HEALTH CARE JOBS CA - Page 1



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