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Organization
STEPHEN M. DAQUINO, DO; INC
Active
Organization
STEPHEN M. DAQUINO, DO; INC
Active
Other names
Revivify Restorative Medicine, Strive Sports & Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN M DAQUINO DO (MEDICAL DIRECTOR)
(858) 429-0099
Entity
Organization
Contact information
Practice address
16445 BERNARDO CENTER DR, SAN DIEGO, CA 92128-2523
(858) 429-0099
(858) 676-1172
Mailing address
16445 BERNARDO CENTER DR, SAN DIEGO, CA 92128-2523
(858) 429-0099
(866) 266-8027
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20A8442
CA
Other
Enumeration date
08/17/2012
Last updated
07/29/2020
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