Individual
JAMES DONALD FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4765 CARMEL MOUNTAIN RD, 207B, SAN DIEGO, CA 92130-6657
(858) 876-1300
Mailing address
4765 CARMEL MOUNTAIN RD, 207B, SAN DIEGO, CA 92130-6657
(858) 876-1300
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G72697
CA
Other
Enumeration date
06/27/2005
Last updated
06/22/2018
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