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Individual

EDWARD W. KANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2023 W VISTA WAY, VISTA, CA 92083-6030
(760) 724-7474
Mailing address
2185 VIA DEL PRADO, VISTA, CA 92084-2839
(760) 525-6080

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G22257
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G222570
CA
Enumeration date
07/13/2006
Last updated
11/19/2019
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