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Organization
JASON MICHAEL BRADLEY COUTURE, MD INC.
Active
Organization
JASON MICHAEL BRADLEY COUTURE, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON M. COUTURE M.D. (OWNER/CEO)
(909) 851-3847
Entity
Organization
Contact information
Practice address
6848 MAGNOLIA AVE, SUITE 230, RIVERSIDE, CA 92506-2857
(951) 682-9911
(909) 825-1868
Mailing address
6848 MAGNOLIA AVE, SUITE 230, RIVERSIDE, CA 92506-2857
(951) 682-9911
(909) 825-1868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A100590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100590
STATE MEDICAL LICENSE NUMBER
CA
Enumeration date
06/22/2009
Last updated
06/22/2009
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