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Individual

NICHOLAS BEVINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
1835 EDGEMONT ST, SAN DIEGO, CA 92102-1207
(831) 277-9487
Mailing address
2801 B ST UNIT 2139, SAN DIEGO, CA 92102-2208
(831) 277-9487

Taxonomy

Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
Primary
A164134
CA

Other

Enumeration date
07/11/2019
Last updated
02/01/2023
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