Fred F Soeprono M.D.

NPI 1659485746 - Dermatology - 207N00000X

NPI Details
NPI 1659485746
Gender Male
Enumeration Date 08/18/2006
Last Updated 12/08/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
255 TERRACINA BLVD
STE 206
REDLANDS CA, 92373-4870, US
Phone (909) 792-8600
Fax (909) 792-8660
Business Location
255 TERRACINA BLVD
STE 206
REDLANDS CA, 92373-4870, US
Phone (909) 792-8600
Fax (909) 792-8660
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G28216
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According to our database, Fred F Soeprono M.D. NPI is 1659485746, taxonomy code is 207N00000X and license number is G28216, license state is located at California. Fred F Soeprono M.D. physically located at 255 Terracina Blvd, Redlands CA, 92373-4870. NPI Number Fred F Soeprono M.D. has the Individual type.

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1659485746 NPI number is provided on an as is basis without warranty of any kind. 1659485746 is maintained by the National Plan & Provider Enumeration System. The contents of Fred F Soeprono M.D. are for informational purposes only.