Organization
NANCY R. KOLLISCH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY RUTH KOLLISCH M.D. (PRESIDENT)
(619) 296-9883
Entity
Organization
Contact information
Practice address
8008 FROST ST, SUITE 445, SAN DIEGO, CA 92123-4205
(619) 296-9883
(619) 296-4930
Mailing address
8008 FROST ST, SUITE 445, SAN DIEGO, CA 92123-4205
(619) 296-9883
(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
05/15/2007
Last updated
08/22/2020
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