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Organization
INLAND EMPIRE MEDICAL GROUP INC.
Active
Organization
INLAND EMPIRE MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERON A GILLIARD (MANAGING PARTNER)
(909) 581-5447
Entity
Organization
Contact information
Practice address
1550 E WASHINGTON ST # 101, COLTON, CA 92324-4624
(800) 418-0850
Mailing address
1550 E WASHINGTON ST # 101, COLTON, CA 92324-4624
(800) 418-0850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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