Organization
WILSON IZQUIERDO MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON IZQUIERDO MD (PHYSICIAN)
(909) 289-4947
Entity
Organization
Contact information
Practice address
1850 S WATERMAN AVE, SUITE F / URGENT FAMILY CENTER, SAN BERNARDINO, CA 92408-2877
(909) 890-9393
Mailing address
1850 S WATERMAN AVE, SUITE F / URGENT FAMILY CENTER, SAN BERNARDINO, CA 92408-2877
(909) 890-9393
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
A117127
CA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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