KEITH MARK GROSS MD INC

VICTORVILLE, CA
NPI1871658278
Entity TypeOrganization
Authorized ContactKEITH GROSS
Owner
909-335-8638
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CA  G63544)
Enumeration Date2006-12-26
Last Update Date2008-01-17
Business Address
KEITH MARK GROSS MD INC
15247 11TH ST SUITE 400
VICTORVILLE, CA 92395-3727
Phone number: 909-335-8638
Mailing Address
KEITH MARK GROSS MD INC
PO BOX 51197 DEPT 1401
LOS ANGELES, CA 90051-5497
Phone number:
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