Organization · Type 2 NPI

Jack B Kistler MD Inc

Primary Care Clinic/Center · Riverside, CA

NPI number 1457676249 Active

Practice location

6900 Brockton Ave Ste 11
Riverside, CA 92506-3801

Call (951) 682-6263 Map

Fax (951) 682-0114

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XC26186 (CA)

Primary Care Clinic/Center: Definition to come...

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About NPI 1457676249

Jack B Kistler MD Inc's National Provider Identifier is 1457676249, issued on Apr 5, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverside, CA. The record was last updated on Apr 5, 2010.