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Organization
VIA VERDE MEDICAL GROUP, INC
Active
Organization
VIA VERDE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E DAVIS DO (OWNER)
(909) 592-9778
Entity
Organization
Contact information
Practice address
1125 VIA VERDE, SAN DIMAS, CA 91773-4400
(909) 592-9778
(909) 599-6126
Mailing address
1125 VIA VERDE, SAN DIMAS, CA 91773-4400
(909) 592-9778
(909) 599-6126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5217
CA
Other
Enumeration date
07/04/2006
Last updated
02/19/2013
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