Organization
MARK P. STANTON M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK PAUL STANTON M.D. (PRESIDENT)
(858) 578-5220
Entity
Organization
Contact information
Practice address
9855 ERMA RD, SUITE 130, SAN DIEGO, CA 92131-3001
(858) 578-5220
Mailing address
9855 ERMA RD, SUITE 130, SAN DIEGO, CA 92131-3001
(858) 578-5220
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G44521
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G445210
—
CA
Enumeration date
08/28/2007
Last updated
08/28/2007
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