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Organization

SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID SCOTT BURNS (ASSOCIATE VICE PRESIDENT BUSINESS E)
(619) 594-6018
Entity
Organization

Contact information

Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-4701
(619) 594-4325
(619) 594-4260
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-4701
(619) 594-4325
(619) 594-4260

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HPE 14078
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHB140780
CA
Enumeration date
11/06/2006
Last updated
08/22/2020
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