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1912264763
SHINTARO CHIBA
LOMA LINDA, CA
NPI
1912264763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: TX S3504)
Additional Taxonomies
208600000X Surgery
(Licence: CA A153896)
Enumeration Date
2012-04-18
Last Update Date
2020-06-01
Business Address
SHINTARO CHIBA M.D.
11175 CAMPUS STREET COLEMAN PAVILION 21111
LOMA LINDA, CA 92354
Phone number: 347-446-4228
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Mailing Address
SHINTARO CHIBA M.D.
2000 TRANS MOUNTAIN RD STE B
EL PASO, TX 79911-3602
Phone number: 915-215-8000
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