| NPI | 1215271424 |
|---|---|
| Doing Business As | BEAVER MEDICAL GROUP - REDLANDS URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | KENNY HEINE VP/Ops 858-964-1506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CA A76937) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |