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Organization
SAMUEL O T ETCHIE MD INC
Active
Organization
SAMUEL O T ETCHIE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL OT ETCHIE MD (OWNER)
(619) 277-9887
Entity
Organization
Contact information
Practice address
7200 PARKWAY DR STE 109, LA MESA, CA 91942-1534
(619) 303-8363
(619) 303-8364
Mailing address
7770 REGENTS RD # 130, SAN DIEGO, CA 92122-1937
(619) 277-9887
(877) 253-9831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A53857
CA
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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