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Organization
SCRIPPS PSYCHIATRIC MEDICAL GROUP
Active
Organization
SCRIPPS PSYCHIATRIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURANCE DAVIS CRACROFT M.D. (PRESIDENT)
(619) 359-6600
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SCRIPPS MERCY HOSPITAL, SAN DIEGO, CA 92103-2105
(619) 359-6600
(619) 632-5736
Mailing address
550 WASHINGTON ST STE 841, SAN DIEGO, CA 92103-2232
(619) 359-6600
(619) 632-5736
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G28587
CA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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