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Organization

SCRIPPS PLASTIC SURGERY MEDICAL GROUP INC

Active
Other names
O Glynn Bolitho
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS GLYNN BOLITHO MD PHD (OWNER)
(858) 458-5100
Entity
Organization

Contact information

Practice address
9834 GENESEE AVE, #311, LA JOLLA, CA 92037
(858) 458-5100
(858) 458-1550
Mailing address
9834 GENESEE AVE, #311, LA JOLLA, CA 92037
(858) 458-5100
(858) 458-1550

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A69572
CA

Other

Enumeration date
10/11/2006
Last updated
05/10/2011
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