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Individual

GRANT BARRIE NEIFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8881 FLETCHER PKWY, LA MESA, CA 91942-3134
(619) 460-3311
Mailing address
13546 PENFIELD PT, SAN DIEGO, CA 92130-1414
(858) 259-8448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A49419
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A49419
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZZZ36915Z
CA
Enumeration date
02/08/2006
Last updated
12/08/2021
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