Organization
MOELLMER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA MOELLMER DPM (PRESIDENT)
(310) 766-0200
Entity
Organization
Contact information
Practice address
1762 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5130
(909) 886-3668
(909) 886-5542
Mailing address
1762 N WATERMAN AVE, SAN BERNARDINO, CA 92404-5130
(909) 886-3668
(909) 886-5542
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4602
CA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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