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Individual

GEORGE MILLER GRAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16655 FOOTHILL BLVD, FONTANA, CA 92335-8416
(909) 356-9664
(909) 356-9687
Mailing address
299 W FOOTHILL BLVD, STE 212, UPLAND, CA 91786-3804
(909) 949-8866
(909) 385-0379

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G92880
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G92880
CA
Enumeration date
08/30/2006
Last updated
10/25/2007
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