Individual
ANN MARIE T. PROCHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Mailing address
3626 RUFFIN RD, SAN DIEGO, CA 92123-1810
(858) 565-9666
(858) 565-9441
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A81872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A818720
BLUE SHIELD OF CA
CA
05
—
00A818720
—
CA
Enumeration date
08/17/2006
Last updated
12/06/2007
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