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Organization
MARK P. STANTON M.D. INC.
Active
Organization
MARK P. STANTON M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PAUL STANTON M.D. (PRESIDENT)
(858) 578-5220
Entity
Organization
Contact information
Practice address
9855 ERMA RD, SUITE 130, SAN DIEGO, CA 92131-3001
(858) 578-5220
Mailing address
9855 ERMA RD, SUITE 130, SAN DIEGO, CA 92131-3001
(858) 578-5220
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G44521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G445210
—
CA
Enumeration date
08/28/2007
Last updated
08/28/2007
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