NPI | 1245448752 |
---|---|
Former Legal Business Name | ROGER D. DUBER D.O., INC. |
Entity Type | Organization |
Authorized Contact | ROGER D DUBER Owner 909-981-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: CA 20A4904) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-10-10 |