Organization
MICHAEL COURIS MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COURIS MD (SOLE PROPRIETOR)
(909) 599-0981
Entity
Organization
Contact information
Practice address
425 W BONITA AVE STE 110, SAN DIMAS, CA
(909) 599-0981
(909) 592-0738
Mailing address
425 W BONITA AVE STE 110, SAN DIMAS, CA
(909) 599-0981
(909) 592-0738
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A53265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A532651
—
CA
Enumeration date
10/26/2007
Last updated
10/26/2007
Update your record
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