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EIEI PHYU SOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505
(951) 353-2000
Mailing address
12387 EVANWOOD CT, RIVERSIDE, CA 92503-7902

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
270720
NY
207RG0100X
Gastroenterology Physician
Primary
A142681
CA

Other

Enumeration date
07/07/2010
Last updated
11/29/2021
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