Organization
KEYSTONE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JORDAN WEESSIES D.C. (PARTNER)
(951) 682-4404
Entity
Organization
Contact information
Practice address
4843 ARLINGTON AVE, RIVERSIDE, CA 92504-2760
(951) 682-4404
(951) 682-4406
Mailing address
4843 ARLINGTON AVE, RIVERSIDE, CA 92504-2760
(951) 682-4404
(951) 682-4406
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC24932
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
C41397
CA
Other
Enumeration date
06/10/2009
Last updated
06/10/2009
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