FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION

APPLE VALLEY, CA
NPI1710905690
Entity TypeOrganization
Authorized ContactJAMES KRIDER
Doctor
760-242-1234
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  G48897)
Enumeration Date2006-07-18
Last Update Date2020-05-14
Business Address
FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
18182 US HIGHWAY 18 SUITE 105
APPLE VALLEY, CA 92307-2200
Phone number: 760-242-1234
Mailing Address
FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
18182 US HIGHWAY 18 SUITE 105
APPLE VALLEY, CA 92307-2200
Phone number: 760-242-1234