Wayne T. Dewri, Physician Assistant
Neuromusculoskeletal Medicine & OMM in Redlands, CA. Individual provider (NPI-1).
NPI number1467584532
StatusActive
Last updated in NPPESDec 7, 2009
Details
- NPI
- 1467584532
- Entity type
- Individual (NPI-1)
- Name
- Wayne T. Dewri
- Credential
- Physician Assistant
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Dec 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 204D00000X | Neuromusculoskeletal Medicine & OMM | PA 18316 | CA | Yes |
| 363A00000X | Physician Assistant | PA18316 | CA |
Practice location
10430 Rhondda StRedlands, CA 92374-2881
Phone 909-796-8206
Mailing address
Po Box 1918Loma Linda, CA 92354-0599
Phone 909-799-7813 · Fax 909-796-8973
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