Individual
DR. JONATHAN DAVID AUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-7427
Mailing address
826 ORANGE AVE, STE 427, CORONADO, CA 92118-2619
(610) 608-3914
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
IN02002970A
IN
208D00000X
General Practice Physician
IN 02002970A
IN
Other
Enumeration date
01/27/2006
Last updated
03/03/2011
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