Individual
DR. DENNIS A HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 E HIGHLAND AVE, C, SAN BERNARDINO, CA 92404-3803
(909) 886-6806
(909) 883-8132
Mailing address
401 E HIGHLAND AVE STE C, SAN BERNARDINO, CA 92404-3834
(909) 886-6806
(909) 883-8132
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G33679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G336790
—
CA
01
—
110082001
RAILROAD MEDICARE
CA
Enumeration date
12/02/2005
Last updated
04/24/2012
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