Organization
US NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R ANCONA JR. DO (ANESTHESIOLOGIST)
(619) 532-8949
Entity
Organization
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
200 HORIZON HILLS DR, EL CAJON, CA 92020-8125
(619) 334-6043
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
20A8060
CA
Other
Enumeration date
02/06/2006
Last updated
06/25/2008
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