Formula Medical Group a Professional Medical Corporation
NPI #1710905690 in Apple Valley, California
Provider Information
- NPI Number
- 1710905690
- Entity Type
- Organization
- Organization Name
- Formula Medical Group a Professional Medical Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 18, 2006
- Last Updated
- May 14, 2020
Practice Location
- Address
- 18182 US HIGHWAY 18
- Address 2
- SUITE 105
- City
- Apple Valley
- State
- California
- ZIP Code
- 92307-2200
- Phone
- (760) 242-1234
Authorized Official
- Name
- JAMES KRIDER, M.D
- Title
- DOCTOR
- Phone
- (760) 242-1234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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