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Individual

SCOTT P LEARY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6645 ALVARADO RD, SUITE 4000, SAN DIEGO, CA 92120-5208
(619) 229-4901
(619) 229-4938
Mailing address
6645 ALVARADO RD, SUITE 4000, SAN DIEGO, CA 92120-5208
(619) 229-4901
(619) 229-4938

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A79086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
D1345626
DRIVERS LICENSE
CA
Enumeration date
02/28/2007
Last updated
11/02/2012
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