Irene Kae Enzensperger MD

NPI 1174693659 - Family Medicine - 207Q00000X

NPI Details
NPI 1174693659
Gender Female
Enumeration Date 11/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1060 E FOOTHILL BLVD STE 202
UPLAND CA, 91786-4017, US
Phone (909) 949-0220
Fax (909) 949-0309
Business Location
1060 E FOOTHILL BLVD STE 202
UPLAND CA, 91786-4017, US
Phone (909) 949-0220
Fax (909) 949-0309
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G23211
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According to our database, Irene Kae Enzensperger MD NPI is 1174693659, taxonomy code is 207Q00000X and license number is G23211, license state is located at California. Irene Kae Enzensperger MD physically located at 1060 E Foothill Blvd Ste 202, Upland CA, 91786-4017. NPI Number Irene Kae Enzensperger MD has the Individual type.

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1174693659 NPI number is provided on an as is basis without warranty of any kind. 1174693659 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Kae Enzensperger MD are for informational purposes only.