Organization
STEVEN M BEUTLER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY DIANE SWANSON (ACCOUNT MANAGER)
(951) 738-0968
Entity
Organization
Contact information
Practice address
350 TERRACINA BLVD, REDLANDS, CA 92373-4850
(951) 738-0968
(951) 738-0524
Mailing address
PO BOX 2095, RANCHO CUCAMONGA, CA 91729-2095
(951) 738-0968
(951) 738-0524
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G69216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G392160
—
CA
Enumeration date
08/29/2006
Last updated
06/21/2010
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