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Organization
BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION
Active
Organization
BOLIVAR FAMILY MEDICAL CLINIC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALVARO BOLIVAR MD (OWNER)
(909) 888-5552
Entity
Organization
Contact information
Practice address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(909) 888-5552
(909) 884-7530
Mailing address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(909) 888-5552
(909) 884-7530
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
05/22/2013
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