Individual
SUSAN M STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9850 GENESEE AVE STE 480, LA JOLLA, CA 92037
(858) 623-6333
(858) 623-0204
Mailing address
9850 GENESEE AVE STE 480, LA JOLLA, CA 92037-1213
(858) 623-6333
(858) 623-0204
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A53234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A53234
CA LIC #
CA
Enumeration date
02/08/2007
Last updated
07/25/2018
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