Individual
MARCOS ANTONIO CLAVIJO FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
73636 CACTUS DR APT A, TWENTYNINE PALMS, CA 92277-3200
(813) 810-6864
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208039
VA
Other
Enumeration date
02/16/2022
Last updated
04/25/2024
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