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Organization
LYLE J REBER MD, INC.
Active
Organization
LYLE J REBER MD, INC.
Active
Parent organization
STAR ORTHOPAEDICS, INC.
Other names
STAR ORTHOPAEDICS
Organization subpart
Yes
Provider details
NPI number
Legal business name
STAR ORTHOPAEDICS, INC.
Authorized official
DR. LYLE JONATHAN REBER M.D. (OWNER)
(760) 972-4580
Entity
Organization
Contact information
Practice address
47110 WASHINGTON ST STE 103, LA QUINTA, CA 92253-2186
(760) 972-4580
Mailing address
PO BOX 6449, LA QUINTA, CA 92248-6449
(760) 972-4580
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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