Organization
VALLEY PATHOLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MARE M.D. (PATHOLOGIST)
(951) 925-6383
Entity
Organization
Contact information
Practice address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 925-6383
(951) 765-4829
Mailing address
1117 E DEVONSHIRE AVE, HEMET, CA 92543-3083
(951) 925-6383
(951) 765-4829
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0071510
—
CA
05
—
GR0071511
—
CA
05
—
GR0071512
—
CA
Enumeration date
08/14/2006
Last updated
08/10/2009
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