Organization
NAVAL MEDICAL CENTER SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WILSON MD (PEDIATRIC RESIDENT)
18005328225
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(800) 532-8225
Mailing address
4519 50TH STREET, SAN DIEGO, CA 92115
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
055716
GA
Other
Enumeration date
06/02/2006
Last updated
08/13/2008
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