| NPI | 1386890044 |
|---|---|
| Doing Business As | UPLAND GROVE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY K. SUELZLE Owner 909-981-0608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA G77184) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA G78385) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2014-04-21 |