| Jeffrey D Ries D O A Professional Corporation | |
|
1310 San Bernardino Rd Ste 101 Upland CA 91786-4985 | |
| (909) 579-0779 | |
| (909) 579-0789 |
| Full Name | Jeffrey D Ries D O A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1310 San Bernardino Rd, Upland, California |
| Authorized Official Name and Position | Jeffrey Dean Ries (PRESIDENT) |
| Authorized Official Contact | 9095790779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey D Ries D O A Professional Corporation 1310 San Bernardino Rd Suite 101 Upland CA 91786-4979 Ph: (909) 579-0779 | Jeffrey D Ries D O A Professional Corporation 1310 San Bernardino Rd Ste 101 Upland CA 91786-4985 Ph: (909) 579-0779 |
| NPI Number | 1992917108 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992917108 | NPI | - | NPPES |
| 00AX51380 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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