Individual
DR. NANCY RUTH KOLLISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8008 FROST ST, SUITE 200, SAN DIEGO, CA 92123-4205
(858) 427-8699
(619) 296-4930
Mailing address
8008 FROST ST, SUITE 200, SAN DIEGO, CA 92123-4205
(858) 427-8699
(619) 296-4930
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G44466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G444660
—
CA
Enumeration date
08/19/2006
Last updated
04/08/2013
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