Chaparral Medical Group INC

NPI #1205898335 in Upland, California

Provider Information

NPI Number: 1205898335
Entity Type: Organization
Organization Name: Chaparral Medical Group INC
Primary Specialty: Dermatology
Enumeration Date: Apr 4, 2006
Last Updated: Oct 17, 2007

Practice Location

Address: 585 NORTH MOUNTAIN AVE
Address 2: SUITE A
City: Upland
State: California
ZIP Code: 91786-8516
Phone: (909) 946-2228

Authorized Official

Name: MRS. ADRIENNE M WALKER
Title: CONTRACTS ADMINISTRATOR
Phone: (909) 398-1550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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