Dr Bryan Andrew Mitton, MD, PHD | |
12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 | |
(760) 956-5057 | |
Not Available |
Full Name | Dr Bryan Andrew Mitton |
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Gender | Male |
Speciality | Pediatrics |
Location | 12021 Jacaranda Ave Ste 101, Hesperia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063674620 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A112409 (California) | Primary |
2080P0207X | Pediatrics - Pediatric Hematology-oncology | A112409 (California) | Secondary |
Entity Name | Neighborhood Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809 |
Entity Name | Sharp Rees-stealy Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996 |
Mailing Address | Practice Location Address |
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Dr Bryan Andrew Mitton, MD, PHD 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 Ph: (760) 956-5057 | Dr Bryan Andrew Mitton, MD, PHD 12021 Jacaranda Ave Ste 101, Hesperia, CA 92345-4978 Ph: (760) 956-5057 |
Dr. Carmelita Antoquia Raymundo-devera, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 16455 Main St., Suite 1, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Aparna Sharma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15398 Main St, Ste. B, Hesperia, CA 92345 Phone: 760-949-4118 Fax: 760-949-0987 | |
Dr. Suehong Tao, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17083 Main St, Hesperia, CA 92345 Phone: 760-241-6666 Fax: 760-947-5619 | |
Dr. Saheb Sahu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11919 Hesperia Rd, Hesperia, CA 92345 Phone: 760-948-1454 Fax: 760-948-6100 | |
Mrs. Cheryl Ann Emoto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St, Hesperia, CA 92345 Phone: 760-947-2161 Fax: 760-947-3673 | |
Hanser Beunes Soler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 16455 Main St Ste 1, Hesperia, CA 92345 Phone: 760-947-2161 |