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1295419067
ELITE MEDICAL GROUP GP
UPLAND, CA
NPI
1295419067
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Entity Type
Organization
Authorized Contact
TRACY VAN SLYKE
Credentialing
918-809-2411
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2023-06-13
Last Update Date
2023-06-13
Business Address
ELITE MEDICAL GROUP GP
901 SAN BERNARDINO RD STE 300
UPLAND, CA 91786-7299
Phone number: 918-809-2411
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Mailing Address
ELITE MEDICAL GROUP GP
901 SAN BERNARDINO RD STE 300
UPLAND, CA 91786-7299
Phone number: 918-809-2411
Copy
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