Beaver Medical Group Ramsey Primary
NPI #1437564143 in Banning, California
Provider Information
- NPI Number
- 1437564143
- Entity Type
- Organization
- Organization Name
- Beaver Medical Group Ramsey Primary
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MEDVANTX, INC.
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 23, 2014
- Last Updated
- Jun 23, 2014
Practice Location
- Address
- 5957 W RAMSEY ST
- Address 2
- SECOND FLOOR POD D
- City
- Banning
- State
- California
- ZIP Code
- 92220-3058
- Phone
- (951) 845-0313
Authorized Official
- Name
- KENNY HEINE
- Title
- VP OF OPERATIONS
- Phone
- (858) 964-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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