JACK B KISTLER MD INC

RIVERSIDE, CA
NPI1457676249
Entity TypeOrganization
Authorized ContactJACK BARTLETT KISTLER
President
951-682-6263
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: CA  C26186)
Enumeration Date2010-04-05
Last Update Date2010-04-05
Business Address
JACK B KISTLER MD INC
6900 BROCKTON AVE STE 11
RIVERSIDE, CA 92506-3801
Phone number: 951-682-6263
Mailing Address
JACK B KISTLER MD INC
6900 BROCKTON AVE STE 11
RIVERSIDE, CA 92506-3801
Phone number: 951-682-6263