# MILL-WATERMAN MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801094149
- **Authorized official:** DR. VU T TRUONG M.D. (VICE-PRESIDENT)
- **Authorized official phone:** (909) 383-0594

## Contact information

- **Practice address:** 385 E MILL ST STE 13, SAN BERNARDINO, CA 92408-1545
- **Practice address phone:** (909) 383-0594
- **Mailing address:** 385 E MILL ST STE 13, SAN BERNARDINO, CA 92408-1545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | A80779 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2007
- **Last updated:** 07/09/2007