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Individual

ROBERT OWEN NEWBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5944
Mailing address
3860 CALLE FORTUNADA, SUITE 210, SAN DIEGO, CA 92123-4800
(858) 309-6303
(858) 309-6301

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A49890
CA
207ZP0213X
Pediatric Pathology Physician
Primary
A49890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A498900
CA
Enumeration date
11/13/2006
Last updated
10/11/2011
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