Wendell Mark Street, M.d., INC
NPI #1902084783 in Loma Linda, California
Provider Information
- NPI Number
- 1902084783
- Entity Type
- Organization
- Organization Name
- Wendell Mark Street, M.d., INC
- Primary Specialty
- Anesthesiology - Pain Medicine
- Enumeration Date
- Feb 4, 2008
- Last Updated
- Feb 4, 2008
Practice Location
- Address
- 11332 MOUNTAIN VIEW AVE
- Address 2
- SUITE A
- City
- Loma Linda
- State
- California
- ZIP Code
- 92354-3854
- Phone
- (951) 640-1230
Authorized Official
- Name
- DR. WENELL MARK STREET, M.D.
- Title
- OWNER/MEDICAL DIRECTOR
- Phone
- (951) 640-1230
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology - Pain Medicine — Pain Medicine |
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