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Organization

UPLAND VASCULAR CENTER LLC

Active
Parent organization
UPLAND VASCULAR CENTER LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
UPLAND VASCULAR CENTER LLC
Authorized official
MARY PHUONG BUI DO (AUTHORIZED OFFICIAL)
(909) 982-4040
Entity
Organization

Contact information

Practice address
1317 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3675
(909) 982-4040
(909) 982-4024
Mailing address
1317 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3675
(909) 982-4040
(909) 982-4024

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary

Other

Enumeration date
09/16/2022
Last updated
09/16/2022
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