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Organization

URI M. ZISBLATT MD, INC.

Active
Other names
Premier Radiation Oncology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. URI ZISBLATT M.D. (PRESIDENT)
(626) 915-6280
Entity
Organization

Contact information

Practice address
210 W SAN BERNARDINO RD, DEPT OF RADIATION ONCOLOGY, COVINA, CA 91723-1515
(626) 915-6280
(626) 859-5829
Mailing address
210 W SAN BERNARDINO RD, DEPT OF RADIATION ONCOLOGY, COVINA, CA 91723-1515
(626) 915-6280
(626) 859-5829

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G80195
CA

Other

Enumeration date
03/19/2014
Last updated
03/20/2014
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