Organization
P. PERRY WICH, M.D., INC.
Active
Organization
P. PERRY WICH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P. PERRY WICH M.D. (PHYSICIAN)
(909) 946-3826
Entity
Organization
Contact information
Practice address
630 N 13TH AVE, SUITE F, UPLAND, CA 91786-4975
(909) 946-3826
(909) 949-4457
Mailing address
630 N 13TH AVE, SUITE F, UPLAND, CA 91786-4975
(909) 946-3826
(909) 949-4457
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A32660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0002030
—
CA
Enumeration date
05/10/2007
Last updated
08/22/2020
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