Individual
DR. MUNTHER E ALQAISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 MEDICAL CENTER DR STE 100, SAN BERNARDINO, CA 92411-1232
(909) 887-8800
(909) 887-5678
Mailing address
18280 SISKIYOU RD, APPLE VALLEY, CA 92307-1413
(760) 242-9999
(760) 242-1121
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A39982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A399820
—
CA
01
—
A39982
MEDICAL LICENSE
CA
Enumeration date
08/16/2006
Last updated
03/23/2023
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