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Organization

SPROUT PEDIATRICS, INC.

Active
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Organization

SPROUT PEDIATRICS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WEBSTER A WONG M.D. (PRESIDENT)
(909) 580-6315
Entity
Organization

Contact information

Practice address
1666 MEDICAL CENTER DR, SUITE 4, SAN BERNARDINO, CA 92411-1257
(909) 887-7050
Mailing address
1666 MEDICAL CENTER DR, SUITE 4, SAN BERNARDINO, CA 92411-1257
(909) 887-7050

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/06/2007
Last updated
08/06/2007
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