Individual
DANIEL DEWERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3627 RIVIERA DR, SAN DIEGO, CA 92109-6641
(858) 270-0239
(858) 270-0239
Mailing address
3627 RIVIERA DR, SAN DIEGO, CA 92109-6641
(858) 270-0239
(858) 270-0239
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
CFE28735
CA
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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