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Organization

IGOR M BRON M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IGOR MARK BRON M.D. (OWNER)
(951) 929-6260
Entity
Organization

Contact information

Practice address
600 N HIGHLAND SPRINGS AVE, BANNING, CA 92220-3046
(951) 929-6260
(951) 765-2855
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A64227
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A642270
CA
01
A64227
LICENSE NUMBER
CA
Enumeration date
11/20/2007
Last updated
02/04/2014
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