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Organization
RIVERSIDE GASTROENTEROLOGY ASSOCIATES INC.
Active
Organization
RIVERSIDE GASTROENTEROLOGY ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD MISHRA MD (MEDICAL DIRECTOR)
(951) 788-4400
Entity
Organization
Contact information
Practice address
6958 BROCKTON AVE, SUITE 203, RIVERSIDE, CA 92506-3829
(951) 788-3880
(951) 788-3886
Mailing address
6958 BROCKTON AVE, SUITE 301, RIVERSIDE, CA 92506-3829
(951) 788-3880
(951) 788-3886
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/11/2015
Last updated
07/21/2016
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