James R. Larose, Dpm, a Professional Corp
NPI #1194076661 in Upland, California
Provider Information
- NPI Number
- 1194076661
- Entity Type
- Organization
- Organization Name
- James R. Larose, Dpm, a Professional Corp
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JAMES R. LAROSE, DPM, A PROFESSIONAL CORP
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Sep 25, 2012
- Last Updated
- Sep 25, 2012
Practice Location
- Address
- 1060 N 13TH AVE
- City
- Upland
- State
- California
- ZIP Code
- 91786-3402
- Phone
- (909) 985-2555
Authorized Official
- Name
- DR. JAMES R. LAROSE, DPM
- Title
- PRESIDENT
- Phone
- (909) 985-2555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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