NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1285080978 |   |   |   | PACIFIC COAST PODIATRY PC | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 |
1972883536 |   |   |   | MOELLMER, INC. | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 |
1003141318 | JOHNSEN | CLAYTON | GARY |   | 1762 N WATERMAN AVE | SAN BERNARDINO | CA | 924045130 |