Individual
DR. BRYCE D BESETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
510 N 13TH AVE, STE 204, UPLAND, CA 91786-4965
(909) 920-0525
(909) 920-0526
Mailing address
510 N 13TH AVE, STE 204, UPLAND, CA 91786-4965
(909) 920-0525
(909) 920-0526
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A65402
CA
2086S0129X
Vascular Surgery Physician
A65402
CA
Other
Enumeration date
07/07/2006
Last updated
03/15/2016
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