Organization
JAMES R. LAROSE, DPM, A PROFESSIONAL CORP
Active
Parent organization
JAMES R. LAROSE, DPM, A PROFESSIONAL CORP
Other names
Regional Foot & Ankle Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES R. LAROSE, DPM, A PROFESSIONAL CORP
Authorized official
DR. JAMES R. LAROSE DPM (PRESIDENT)
(909) 985-2555
Entity
Organization
Contact information
Practice address
1060 N 13TH AVE, UPLAND, CA 91786-3402
(909) 985-2555
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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