Individual
BRUCE BARRY GRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Mailing address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 427-3910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G48011
CA
208000000X
Pediatrics Physician
MD218930
OR
2080P0206X
Pediatric Gastroenterology Physician
Primary
G48011
CA
Other
Enumeration date
11/29/2006
Last updated
04/10/2025
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