Organization
SAMUEL M SEPUYA MD. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL M SEPUYA MD, INC (OWNER)
(909) 882-6900
Entity
Organization
Contact information
Practice address
1780 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4618
(909) 882-6900
(909) 882-6110
Mailing address
1780 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-4618
(909) 882-6900
(909) 882-6110
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A35525
CA
Other
Enumeration date
05/27/2008
Last updated
08/05/2008
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