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Organization
INLAND GLAUCOMA SERVICE MEDICAL CORPORATION
Active
Organization
INLAND GLAUCOMA SERVICE MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE ALEXANDER BRUCE-LYLE M.D. (DOCTOR)
(909) 799-1992
Entity
Organization
Contact information
Practice address
11320 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3860
(909) 799-1992
(909) 799-1499
Mailing address
11320 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3860
(909) 799-1992
(909) 799-1499
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A51441
CA
Other
Enumeration date
02/26/2007
Last updated
02/15/2011
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