Organization
INLAND EMPIRE UROLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JOHN PIETRO M.D. (M.D.)
(951) 683-7620
Entity
Organization
Contact information
Practice address
4500 BROCKTON AVE, SUITE 204, RIVERSIDE, CA 92501-4090
(951) 683-7620
(951) 683-3052
Mailing address
4500 BROCKTON AVE, SUITE 204, RIVERSIDE, CA 92501-4090
(951) 683-7620
(951) 683-3052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A43577
CA
Other
Enumeration date
03/31/2006
Last updated
11/10/2015
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