Foothills Neurological Medical Gp

NPI 1154317584 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1154317584
Enumeration Date 09/21/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name GAIL E GAIL
Position ADMINISTRATOR
Phone (909) 592-2145
Fax (909) 599-6217
Practice Location
1330 W COVINA BLVD
#103
SAN DIMAS CA, 91773-3200, US
Phone (909) 592-2145
Fax (909) 599-6217
Business Location
1330 W COVINA BLVD
#103
SAN DIMAS CA, 91773-3200, US
Phone (909) 592-2145
Fax (909) 599-6217
Toxanomy
Taxonomy Code 2084N0400X
License State California
License Number A33406
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According to our database, Foothills Neurological Medical Gp NPI is 1154317584, taxonomy code is 2084N0400X and license number is A33406, license state is located at California. Foothills Neurological Medical Gp physically located at 1330 W Covina Blvd, San Dimas CA, 91773-3200. NPI Number 1033115704 has the healthcare provider type.

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1154317584 NPI number is provided on an as is basis without warranty of any kind. 1154317584 is maintained by the National Plan & Provider Enumeration System. The contents of Foothills Neurological Medical Gp are for informational purposes only.