Individual
DUSTIN WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
33494 OAK GLEN RD, YUCAIPA, CA 92399-2057
(909) 797-8900
(909) 797-5800
Mailing address
33494 OAK GLEN RD, YUCAIPA, CA 92399-2057
(909) 797-8900
(909) 797-5800
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19373
CA
Other
Enumeration date
10/02/2007
Last updated
03/25/2015
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