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Individual

DR. HOWARD BRUCE SOMERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
234 A AVE, CORONADO, CA 92118-1913
(619) 435-5504
(619) 435-5519
Mailing address
234 A AVE, CORONADO, CA 92118-1913
(619) 435-5504
(619) 435-5519

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
C51096
CA
174400000X
Specialist
Primary
MD11456
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100957
ONE HEALTHPLAN
AZ
01
19-00023
UNITED HEALTHCARE
AZ
01
1Z0323
HEALTHNET OF AZ
AZ
01
4219600
CIGNA
AZ
01
4406462
AETNA
AZ
01
AZ0349600
BCBS
AZ
01
C51096
CA MEDICAL LICENSE
CA
01
MD11456
AZ MEDICAL LICENSE
AZ
Enumeration date
07/18/2005
Last updated
06/27/2016
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