Individual
DR. JACOB ALAN WEATHERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6699 ALVARADO RD STE 2200, SAN DIEGO, CA 92120-5253
(619) 265-3400
Mailing address
6699 ALVARADO RD STE 2200, SAN DIEGO, CA 92120-5253
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A150920
CA
Other
Enumeration date
03/20/2016
Last updated
06/19/2023
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