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Organization

DAVID E ENGELHARDT MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID EDWARD ENGELHARDT MD (PRESIDENT)
(909) 931-3838
Entity
Organization

Contact information

Practice address
631 N 13TH AVE STE B, UPLAND, CA 91786-4964
(909) 931-3838
(909) 931-3349
Mailing address
631 N 13TH AVE STE B, UPLAND, CA 91786-4964
(909) 931-3838
(909) 931-3349

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G63529
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G635290
CA
Enumeration date
01/05/2009
Last updated
01/17/2019
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