Individual
CHARLES THEUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 LA JOLLA VILLAGE DR STE 800, SAN DIEGO, CA 92122-1247
(858) 251-3490
Mailing address
4350 LA JOLLA VILLAGE DR STE 800, SAN DIEGO, CA 92122-1247
(858) 251-3490
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G070310
CA
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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