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Individual

CHAD VERCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11448 BENTON ST., LOMA LINDA, CA 92354
(909) 558-4000
Mailing address
11448 BENTON ST., LOMA LINDA, CA 92354
(909) 558-4000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97349
CA
208000000X
Pediatrics Physician
Primary
A97349
CA

Other

Enumeration date
05/21/2007
Last updated
09/11/2025
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