Individual
DAVID TEVIS PRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
200 W ARBOR DR, UNIVERSITY OF CALIFORNIA SAN DIEGO MEDICAL CENTER, SAN DIEGO, CA 92103-9000
(858) 657-7000
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91401
CA
207RI0200X
Infectious Disease Physician
Primary
A91401
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A914010
—
CA
Enumeration date
01/10/2007
Last updated
06/04/2019
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