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R D DIPP DO — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, CA)

R D DIPP DO — Medicare Enrolled Provider (PART B SUPPLIER - CLINIC/GROUP PRACTICE, CA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: R D DIPP DO; Type: Organization; NPI: 1003261355.

NameR D DIPP DO
TypeOrganization
NPI1003261355
Provider typePART B SUPPLIER - CLINIC/GROUP PRACTICE
StateCA
Enrollment IDO20171226001363
Multiple NPI flagN
SourceCMS Medicare FFS Public Provider Enrollment (PECOS)

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