Provider First Line Business Practice Location Address:
400 NORTH PEPPER AVENUE 2ND FLOOR, ANESTHESIA DEPT.
Provider Second Line Business Practice Location Address:
INLAND EMPIRE ANESTHESIA MEDICAL GROUP, INC.
Provider Business Practice Location Address City Name:
COLTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92324-0765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-580-2440
Provider Business Practice Location Address Fax Number:
909-580-2441
Provider Enumeration Date:
12/13/2005