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Organization
THE DERMBAR A PHYSICIAN ASSISTANT CO
Active
Organization
THE DERMBAR A PHYSICIAN ASSISTANT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITNEY KAUFMAN PA (AUTHORIZED OFFICIAL)
(530) 680-8879
Entity
Organization
Contact information
Practice address
3333 CONCOURS STE 1201, ONTARIO, CA 91764-6539
(530) 680-8879
Mailing address
3333 CONCOURS STE 1201, ONTARIO, CA 91764-6539
(909) 476-4077
(909) 476-4088
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2023
Last updated
11/14/2023
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