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Organization
EDGARD M VERA MD INC
Active
Organization
EDGARD M VERA MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGARD M VERA (OWNER)
(760) 780-4179
Entity
Organization
Contact information
Practice address
17207 JASMINE ST, 2, VICTORVILLE, CA 92395
(760) 780-4179
(760) 241-4591
Mailing address
17207 JASMINE ST STE 2, VICTORVILLE, CA 92395-8322
(760) 780-4179
(760) 241-4591
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP7161
RAIL ROAD MEDICARE
CA
Enumeration date
03/19/2009
Last updated
07/09/2026
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