Individual
PHILIP HENRY REISWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6073
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 583-6073
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G7928
CA
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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