Robert E. Sallis MD

NPI 1114094091 - Family Medicine - 207Q00000X

NPI Details
NPI 1114094091
Gender Male
Enumeration Date 11/29/2006
Last Updated 09/23/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone (909) 427-3910
Fax
Business Location
9961 SIERRA AVE
FONTANA CA, 92335-6720, US
Phone (909) 427-3910
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A45124
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According to our database, Robert E. Sallis MD NPI is 1114094091, taxonomy code is 207Q00000X and license number is A45124, license state is located at California. Robert E. Sallis MD physically located at 9961 Sierra Ave, Fontana CA, 92335-6720. NPI Number Robert E. Sallis MD has the Individual type.

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1114094091 NPI number is provided on an as is basis without warranty of any kind. 1114094091 is maintained by the National Plan & Provider Enumeration System. The contents of Robert E. Sallis MD are for informational purposes only.