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Organization

DORI NEILL CAGE M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DORI NEILL CAGE M.D. (PHYSICIAN)
(858) 715-9200
Entity
Organization

Contact information

Practice address
8008 FROST ST, SUITE #403, SAN DIEGO, CA 92123
(858) 715-9200
(858) 715-9202
Mailing address
8008 FROST ST, SUITE #403, SAN DIEGO, CA 92123-4205
(858) 715-9200
(858) 715-9202

Taxonomy

Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
A49579
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A495790
CA
01
A49579
MEDICARE ID
CA
01
W19706
MEDICARE PTAN
CA
Enumeration date
09/26/2006
Last updated
09/06/2018
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