Eunice N Bolivar Md, Inc. | |
598 N F St San Bernardino CA 92410-3110 | |
(909) 882-6900 | |
(909) 882-6110 |
Full Name | Eunice N Bolivar Md, Inc. |
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Speciality | Family Medicine |
Location | 598 N F St, San Bernardino, California |
Authorized Official Name and Position | Bernadette F Costa (BILLING MANAGER) |
Authorized Official Contact | 9098826900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Eunice N Bolivar Md, Inc. 598 N F St San Bernardino CA 92410-3110 Ph: (909) 882-6900 | Eunice N Bolivar Md, Inc. 598 N F St San Bernardino CA 92410-3110 Ph: (909) 882-6900 |
NPI Number | 1447572029 |
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Provider Enumeration Date | 02/23/2010 |
Last Update Date | 02/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447572029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A33374 (California) | Primary |
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