Organization
ROGER D. DUBER D.O., INC.
Active
Other names
ROGER D. DUBER D.O., INC.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER D DUBER D.O. (OWNER)
(909) 981-8383
Entity
Organization
Contact information
Practice address
685 N 13TH AVE, SUITE 9, UPLAND, CA 91786-4916
(909) 981-8383
(909) 920-3054
Mailing address
685 N 13TH AVE, SUITE 9, UPLAND, CA 91786-4916
(909) 981-8383
(909) 920-3054
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20A4904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX49040
—
CA
Enumeration date
05/18/2007
Last updated
10/10/2007
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