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Organization
GREG MATTSON MD INC
Active
Organization
GREG MATTSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY CAPP MATTSON M.D. (PRESIDENT)
(858) 454-2716
Entity
Organization
Contact information
Practice address
210 COAST BLVD, LA JOLLA, CA 92037-4609
(858) 454-6141
(858) 454-2310
Mailing address
210 COAST BLVD, LA JOLLA, CA 92037-4609
(858) 454-6141
(858) 454-2310
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G32164
CA
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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