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PROVIDENCE MEDICAL FOUNDATION

Urology Physician

NPI: 1053616706Organization

Specialties, Licenses & Credentials

Clinic/Center — Radiology

Code: 261QR0200X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Urology

Code: 208800000X

Contact & Hours

Address
19333 BEAR VALLEY RD, SUITE 106
APPLE VALLEY, CA 92308

Quick Facts

NPI
1053616706
Entity Type
Organization
Medicare
Not confirmed
Specialties
3
Locations
1

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