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Organization

DELBERT L. SECRIST JR. M.D. A MEDICAL CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DELBERT L. SECRIST JR. M.D JR. (OWNER)
(858) 755-9324
Entity
Organization

Contact information

Practice address
141 N. ACACIA AVE., STE A, SOLANA BEACH, CA 92015-1130
(858) 755-9324
(760) 751-9067
Mailing address
141 N. ACACIA AVE, STE A, SOLANA BEACH, CA 92015-1130
(858) 755-9324
(760) 751-9067

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G12084
CA

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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