Organization
FAMILY PRACTICE MEDICAL GROUP OF SAN BERNARDINO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J MOYER M.D. (MEDICAL DIRECTOR)
(909) 883-8966
Entity
Organization
Contact information
Practice address
1369 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4640
(909) 883-8966
(909) 881-1480
Mailing address
1369 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4640
(909) 883-8966
(909) 881-1480
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
10/08/2008
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