Organization
PAMELA M. RESNIKOFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA SUE MILLER (MEDICAL BILLER)
(619) 299-2570
Entity
Organization
Contact information
Practice address
4077 FIFTH AVE, SAN DIEGO, CA 92103-2105
(619) 294-8111
Mailing address
4033 3RD AVE, 300, SAN DIEGO, CA 92103-2117
(619) 299-2570
(619) 294-2738
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G80358
CA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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