Provider First Line Business Practice Location Address:
742 W HIGHLAND AVE
Provider Second Line Business Practice Location Address:
SAN MARCOS MEDICAL GROUP INC.
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92405-3839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-953-9909
Provider Business Practice Location Address Fax Number:
909-881-7330
Provider Enumeration Date:
06/18/2007