Individual
DR. ROSS MACDONALD MANDEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ARBOR DR, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-9001
(619) 543-6266
Mailing address
200 W ARBOR DR, UCSD MEDICAL CENTER, SAN DIEGO, CA 92103-9001
(619) 543-6266
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A111236
CA
2084N0600X
Clinical Neurophysiology Physician
A111236
CA
Other
Enumeration date
09/03/2008
Last updated
02/12/2014
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