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Individual

DR. MARY DENNIS ALTMEYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2620 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-3022
(210) 664-4675
Mailing address
2620 MCCULLOUGH AVE, SAN ANTONIO, TX 78212-3022
(210) 664-4675

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
N9998
TX
207ND0900X
Dermatopathology Physician
Primary
N9998
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
351890401
TX
Enumeration date
04/10/2008
Last updated
06/20/2024
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