Individual
DR. BRIAN SPIVACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8263 GROVE AVE STE 204, RANCHO CUCAMONGA, CA 91730-3107
(909) 946-5320
(909) 946-3290
Mailing address
8263 GROVE AVE STE 204, RANCHO CUCAMONGA, CA 91730-3107
(909) 946-5320
(909) 946-3290
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G67360
CA
2086X0206X
Surgical Oncology Physician
G67360
CA
Other
Enumeration date
07/12/2006
Last updated
07/21/2022
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