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Organization

OSTEOPATHIC CENTER FOR CHILDREN

Active
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Organization

OSTEOPATHIC CENTER FOR CHILDREN

Active
Other names
Osteopathic Center For Children and Families
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHAWN K CENTERS DO (OSTEOPATHIC PEDIATRICIAN/ MED. DIR)
(619) 583-7611
Entity
Organization

Contact information

Practice address
3706 RUFFIN ROAD, SUITE 117, SAN DIEGO, CA 92123
(619) 583-7611
(619) 583-7611
Mailing address
3706 RUFFIN RD, SUITE 117, SAN DIEGO, CA 92123-1812
(619) 583-7611
(619) 583-7611

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—

Other

Enumeration date
02/28/2007
Last updated
07/02/2015
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