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Individual

WAYNE B ISAEFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-4778
Mailing address
1880 E WASHINGTON ST, COLTON, CA 92324-4621
(909) 825-2425
(909) 825-4778

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G8927
CA

Other

Enumeration date
05/27/2005
Last updated
07/08/2007
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