Formula Medical Group

NPI 1710905690 - Family Medicine - 207Q00000X

NPI Details
NPI 1710905690
Enumeration Date 07/18/2006
Last Updated 02/17/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAMES JAMES
Position DOCTOR
Phone (760) 242-1234
Fax (760) 242-5527
Practice Location
18182 US HIGHWAY 18
SUITE 105
APPLE VALLEY CA, 92307-2200, US
Phone (760) 242-1234
Fax (760) 242-5527
Business Location
18182 US HIGHWAY 18
SUITE 105
APPLE VALLEY CA, 92307-2200, US
Phone (760) 242-1234
Fax (760) 242-5527
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number G48897
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According to our database, Formula Medical Group NPI is 1710905690, taxonomy code is 207Q00000X and license number is G48897, license state is located at California. Formula Medical Group physically located at 18182 Us Highway 18, Apple Valley CA, 92307-2200. NPI Number 1033115704 has the healthcare provider type.

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1710905690 NPI number is provided on an as is basis without warranty of any kind. 1710905690 is maintained by the National Plan & Provider Enumeration System. The contents of Formula Medical Group are for informational purposes only.