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Organization
SAN DIEGO SHOULDER TO FINGERTIPS MEDICAL GROUP INC
Active
Organization
SAN DIEGO SHOULDER TO FINGERTIPS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE LAURA BALLARD MD (OWNER)
(760) 750-1902
Entity
Organization
Contact information
Practice address
277 RANCHEROS DR STE 101, SAN MARCOS, CA 92069-2976
(760) 750-1902
(760) 750-1906
Mailing address
277 RANCHEROS DR STE 101, SAN MARCOS, CA 92069-2976
(760) 750-1902
(760) 750-1906
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2025
Last updated
01/29/2025
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