Organization
RANDAL J. VECCHIONE M.D., INC., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL JOHN VECCHIONE M.D. (PRESIDENT)
(619) 234-1674
Entity
Organization
Contact information
Practice address
2542 2ND AVE, SAN DIEGO, CA 92103-6537
(619) 234-1674
(619) 234-1680
Mailing address
2542 2ND AVE, SAN DIEGO, CA 92103-6537
(619) 234-1674
(619) 234-1680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A34154
CA
Other
Enumeration date
10/11/2006
Last updated
11/15/2007
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