Healthcare Provider Details

I. General information

NPI: 1336353341
Provider Name (Legal Business Name): DENNIS E CRAMER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6276 RIVER CREST DR
RIVERSIDE CA
92507-0783
US

IV. Provider business mailing address

6276 RIVER CREST DR
RIVERSIDE CA
92507-0783
US

V. Phone/Fax

Practice location:
  • Phone: 951-413-0200
  • Fax: 951-653-5161
Mailing address:
  • Phone: 951-413-0200
  • Fax: 951-653-5161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number20A8197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: