Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Mar 28, 2006
License(s)
G57564 (CA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 7485 MISSION VALLEY RD STE 104A | San Diego, CA 92108-4422 | 619-291-8930 |
| LOCATION | 7485 MISSION VALLEY RD STE 104A | San Diego, CA 92108-4422 | 619-291-8930 |
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