Individual
MR. ROBERT GEORGE CLEVENGER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.R.T.
Contact information
Practice address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Mailing address
34800 BOB WILSON DR, NMCSD, ATTN: MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134-1098
(619) 532-6460
(619) 532-6299
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
6448
CA
Other
Enumeration date
01/30/2006
Last updated
07/08/2007
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