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NEIL W. TREISTER M.D.

>> Specialist >> Other Service Providers

Registrant NPI Number: 1235167305

Individual Registrant:
 NEIL W. TREISTER M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
5256 S MISSION RD SUITE 802 BONSALL, CA 92003-3614 US
Tel: 951-698-4600  Fax: 951-514-2542

Contact information for business:
25405 HANCOCK AVE STE 216 MURRIETA, CA 92562 US
Tel: 951-698-4600  Fax: 951-514-2542

Registration Information:
NPI: 1235167305
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N174400000XOther Service Providers
Specialist
Y207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
CAG451030

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00G451030CA05




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