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Individual

COLLEEN P MCNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8010 FROST ST, #301, SAN DIEGO, CA 92123
(858) 292-7200
(858) 505-0304
Mailing address
8010 FROST ST, #301, SAN DIEGO, CA 92123
(858) 292-7200
(858) 505-0304

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G74059
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G740590
CA
Enumeration date
08/31/2006
Last updated
02/28/2020
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