| Gtubes Inc | |
|
212 Summit Ave Redlands CA 92373-6852 | |
| (909) 709-5099 | |
| (909) 543-1832 |
| Full Name | Gtubes Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 212 Summit Ave, Redlands, California |
| Authorized Official Name and Position | John Robert Evans (OWNER) |
| Authorized Official Contact | 9097095099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gtubes Inc Po Box 7141 Redlands CA 92375-0141 Ph: (909) 709-5099 | Gtubes Inc 212 Summit Ave Redlands CA 92373-6852 Ph: (909) 709-5099 |
| NPI Number | 1447014600 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/12/2024 |
| Certification Date | 02/12/2024 |
| Medicare PECOS PAC ID | 5193264745 |
|---|---|
| Medicare Enrollment ID | O20240827001774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447014600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
| Provider Name | John R Evans |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245253582 PECOS PAC ID: 7214988898 Enrollment ID: I20050201001020 |
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