Organization
COLTON VALLEY MEDICAL CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY RAYMOND WEBB JR. MD (MD/OWNER)
(909) 825-3202
Entity
Organization
Contact information
Practice address
502 W VALLEY BLVD, COLTON, CA 92324-2249
(909) 825-3202
(909) 825-9375
Mailing address
502 W VALLEY BLVD, COLTON, CA 92324-2249
(909) 825-3202
(909) 825-9375
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A23744
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A237440
—
CA
Enumeration date
01/17/2008
Last updated
01/17/2008
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