Organization
IGOR M BRON M D INC
Active
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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