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Organization

EVERCARE MEDICAL GROUP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVA MARSH M.D. (MEDICAL DIRECTOR/OWNER)
(442) 800-5300
Entity
Organization

Contact information

Practice address
16281 MAIN ST STE B, HESPERIA, CA 92345-3569
(442) 800-5300
Mailing address
16281 MAIN ST STE B, HESPERIA, CA 92345-3569
(442) 800-5300

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
207R00000X
Internal Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C22547
GENERAL PRACTICE
CA
Enumeration date
10/08/2018
Last updated
01/04/2024
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