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Individual

DR. MARK GRANT SHAPIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7901 FROST ST, SAN DIEGO, CA 92123
(858) 939-3400
Mailing address
7901 FROST ST, SAN DIEGO, CA 92123
(858) 939-3400

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91772
CA
208M00000X
Hospitalist Physician
Primary
A91772
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A917720
CA
Enumeration date
08/31/2006
Last updated
12/16/2014
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