Organization
JEFFREY D RIES D O A PROFESSIONAL CORPORATION
Active
Organization
JEFFREY D RIES D O A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DEAN RIES D O (PRESIDENT)
(909) 579-0779
Entity
Organization
Contact information
Practice address
1310 SAN BERNARDINO RD, STE 101, UPLAND, CA 91786-4985
(909) 579-0779
(909) 579-0789
Mailing address
1310 SAN BERNARDINO RD, SUITE 101, UPLAND, CA 91786-4979
(909) 579-0779
(909) 579-0789
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX51380
—
CA
Enumeration date
05/03/2007
Last updated
07/27/2012
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